Colleen Stack (NPI# 1245659226, PAC ID# 8426387390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1245659226 |
| PAC ID by PECOS | 8426387390 |
| Professional Enrollment ID | I20190903001764 |
| Full Name | Colleen Stack |
| Organization Legal Name | CAROLINAEAST PHYSICIANS |
| Address |
2604 Dr Martin Luther King Jr Blvd New Bern NC 28562-4238 |
| Phone Number | 2526364502 |
| Gender | F |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 0143378117 |
| Number of Group Practice Members | 129 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340131 | CAROLINA EAST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2526364502 | CAROLINAEAST PHYSICIANS |
| Organization Legal Name | CAROLINAEAST PHYSICIANS |
| Physicians | 142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew A Pierce | Urology | Carolinaeast Physicians | 705 Newman Rd, New Bern, NC 28562-5239 |
| Jaime Murray | Nurse Practitioner | Carolinaeast Physicians | 960 Newman Rd, Cardiac Thoracic and Vascular Surgery, New Bern, NC 28562-5200 |
| James M Harris | Family Medicine | Carolinaeast Physicians | 906 W B Mclean Dr, Cape Carteret, NC 28584-9211 |
| Kelsey Jeanine Barr | Endocrinology | Carolinaeast Physicians | 137 Medical Ln, Pollocksville, NC 28573-8200 |
| Antionio E Rodriguez | Cardiovascular Disease (cardiology) | Carolinaeast Physicians | 4275 Western Blvd, Jacksonville, NC 28546-1100 |
| Thomas R Grant | Otolaryngology | Carolinaeast Physicians | 3110 Wellons Blvd, Carolinaeast Ear Nose and Throat, New Bern, NC 28562-5247 |
| Evan Ryan Restelli | Pulmonary Disease | Carolinaeast Physicians | 532 Webb Blvd, Havelock, NC 28532-2042 |
| Micheal Creta | Family Medicine | Carolinaeast Physicians | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 |
| Elizabeth V Bell | Nurse Practitioner | Carolinaeast Physicians | 241 Freedom Way, Jacksonville, NC 28544-1418 |
| Marsha A Laird | Nurse Practitioner | Carolinaeast Physicians | 620 Farmlife Ave, Nanceboro, NC 28586-7673 |
| Street Address |
2604 DR MARTIN LUTHER KING JR BLVD |
| City | NEW BERN |
| State | NC |
| Zip | 28562-4238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Micheal Creta | Family Medicine | Carolinaeast Physicians | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 |
| Diana A Gliga | Internal Medicine | Carolinaeast Physicians | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 |
| Vicky Erwin | Family Medicine | Carolinaeast Physicians | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 |
| Steven R Hale | Certified Registered Nurse Anesthetist (crna) | Carolinaeast Physicians | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 |
| Maurits J Wiersema | Gastroenterology | Carolinaeast Physicians | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 |
| Richard S Lee | Gastroenterology | Carolinaeast Physicians | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 |
| Robert L Card | Certified Registered Nurse Anesthetist (crna) | Carolinaeast Physicians | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 |
| Michael Lawrence Holloway | Certified Registered Nurse Anesthetist (crna) | Carolinaeast Physicians | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 |
| Christopher Michael Nickelson | Certified Registered Nurse Anesthetist (crna) | Carolinaeast Physicians | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 |
| Dustin A Dvoracek | Certified Registered Nurse Anesthetist (crna) | Carolinaeast Physicians | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Mary Hagerty | Neurology | Coastal Carolina Health Care Pa | 2861 Trent Rd, New Bern, NC 28562-2029 |
| Cynthia L Riley | Chiropractic | 2871 Trent Rd, New Bern, NC 28562-2029 | |
| Karen T Rowan | Nurse Practitioner | Coastal Carolina Health Care Pa | 2861 Trent Rd, New Bern, NC 28562-2029 |
| Sheila L Blanks | Nurse Practitioner | Coastal Carolina Health Care Pa | 2861 Trent Rd, New Bern, NC 28562-2029 |
| Shil Kiritkumar Patel | Ophthalmology | Taylor Retina Center, Pa | 1403 Mccarthy Blvd, New Bern, NC 28562-2049 |
| Debra L Livingston-green | Nurse Practitioner | A Better Place Behavioral Health | 1304 C Commerce Dr, New Bern, NC 28562-2212 |
| Henry Dodge Beckwith | Psychologist, Clinical | 1304 Commerce Dr B, New Bern, NC 28562-2212 | |
| Marcy Arnold | Clinical Social Worker | A Better Place Behavioral Health | 1304 C Commerce Dr, New Bern, NC 28562-2212 |
| Lois A Flemming | Chiropractic | 3601 Trent Rd, Suite 3, New Bern, NC 28562-2219 | |
| Andrew Davidson | Ophthalmology | Singleton Vision Center | 3515 Trent Rd, Suite 9, New Bern, NC 28562-2220 |
| Find all physicians in zip 28562 | |||
| City | NEW BERN |
| Zip Code | 28562 |
| Specialty | NEUROLOGY |
| City + Specialty | NEW BERN + NEUROLOGY |
Please comment or provide details below to improve the information on Colleen Stack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.