MICHAEL LEE STACK


Address: 3265 W Sarazens Cir Ste 101, Memphis, TN 38125-0806
Phone: 9015126086

MICHAEL LEE STACK (NPI# 1316943301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316943301
Entity Type Individual
Full Name MICHAEL LEE STACK
Credential M.D.
Practice Address 3265 W Sarazens Cir Ste 101
Memphis
TN 38125-0806
Practice Telephone 9015126086
Practice Fax Number 8662307816
Mailing Telephone 9015126086
Mailing Fax Number 8662307816
Enumeration Date 2005-06-23
Last Update Date 2019-12-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 28719 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE P00475770 01
TN 3840616 05
TN BCBS 4347596 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3249 W Sarazens Cir, Memphis, TN 381250807 9017565565 9017565564

Other Providers MICHAEL STACK

NPI Name Taxonomy Address Enumeration
1932146685 Michael Andrew Stack Family Medicine 121 N Pine River St, Ithaca, MI 48847-1039 2006-06-01
1770585945 Michael T Stack Specialist 2845 Greenbrier Rd, Green Bay, WI 54311 2005-06-01

Office Location

Street Address 3265 W SARAZENS CIR STE 101
City MEMPHIS
State TN
Zip Code 38125-0806

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689917759 Bluff City Obstetrics and Gynecology Obstetrics & Gynecology 3265 W Sarazens Cir Ste 101, Memphis, TN 38125-0806 2013-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144798448 Ronald Penn Jr. Day Training, Developmentally Disabled Services 4751 Harvest Park Dr., Memphis, TN 38125 2018-11-05
1417458944 Crestwyn Health Group, LLC Psychiatry & Neurology 9485 Crestwyn Hills Cv, Memphis, TN 38125 2018-02-21
1982121323 Ruthie Rayford Non-emergency Medical Transport (VAN) 7244 Grande Bay Cove, Memphis, TN 38125 2017-08-25
1952769119 Crestwyn Health Group, LLC Psychiatric Hospital 9485 Crestwyn Hills Cove, Memphis, TN 38125 2016-02-03
1033590500 Katherine Brown Optometrist 7706 Winchester Road, Suite 105, Memphis, TN 38125 2015-06-10
1073856514 Quaneshia R Farris Nurse Practitioner 7685 Winchester Rd Ste 100, Memphis, TN 38125 2013-04-03
1225379811 Americare At Southbreeze Assisted Living, LLC Assisted Living Facility 3168 Hacks Road Cross, Memphis, TN 38125 2013-03-07
1780934281 Freds Stores of Tennessee Inc Pharmacy 7143 Winchester Rd, Memphis, TN 38125 2012-09-12
1174893598 Andi Marie Anderson Nurse Anesthetist, Certified Registered 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 2012-01-02
1285938266 Melita Robbins Behavioral Analyst 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 2011-01-05
Find all providers in zip 38125

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043860448 901 Health, Pllc Obstetrics & Gynecology 3068 Covington Pike Ste 3, Memphis, TN 38128-5001 2019-09-17
1669860557 Midsouth Healthcare Management Obstetrics & Gynecology 3249 W Sarazens Cir, Memphis, TN 38125-0807 2014-12-31
1104269745 Abigail Y. Talbot Obstetrics & Gynecology 6215 Humphreys Blvd Ste 500, Memphis, TN 38120-2384 2013-04-13
1972863165 Robin Morehead Taylor Obstetrics & Gynecology 6215 Humphreys Blvd Ste 100, Memphis, TN 38120-2382 2012-05-21
1417121013 Dominique M Butawan-ali Obstetrics & Gynecology 6215 Humphreys Blvd., Ste 100, Memphis, TN 38120 2008-04-15
1972782670 Ob Gyn Centers of Memphis,mpllc Obstetrics & Gynecology 1264 Wesley Dr Ste 402, Memphis, TN 38116-6447 2007-10-30
1699963249 Stephen Eguabor Ehiremen Obstetrics & Gynecology 2900 Kirby Rd Ste 11, Memphis, TN 38119 2007-10-09
1902013238 Carlos Zavala Obstetrics & Gynecology 1850 Poplar Crest Cv, Suite 105, Memphis, TN 38119-4877 2007-05-17
1578775359 Laura B Haskins Obstetrics & Gynecology 6005 Park Ave Ste 430b, Memphis, TN 38119-5211 2007-05-04
1598892325 Memphis Midsouth Obgyn Alliance P.C. Obstetrics & Gynecology 6215 Humprehys Blvd, Suite 400, Memphis, TN 38120 2007-02-28
Find all providers in MEMPHIS

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City MEMPHIS
Zip Code 38125

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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