Michael Lee Stack (NPI# 1316943301, PAC ID# 9032120829) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1316943301 |
| PAC ID by PECOS | 9032120829 |
| Professional Enrollment ID | I20060508000817 |
| Full Name | Michael Lee Stack |
| Address |
3249 W Sarazens Circle Memphis TN 38125-0807 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3249 W Sarazens Circle, Memphis, TN 38125-0807 |
| Street Address |
3249 W SARAZENS CIRCLE |
| City | MEMPHIS |
| State | TN |
| Zip | 38125-0807 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shubi R Mukatira | Psychiatry | Blues City Psychiatry, Pllc | 9485 Creswyn Hills Dr, Memphis, TN 38125 |
| Bonnie L Barnes | Family Medicine | Primary Care Group, LLC | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-0502 |
| Lauren N Sweet | Family Medicine | Primary Care Group, LLC | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-0502 |
| Ashlee L Hendry | Family Medicine | Primary Care Group, LLC | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-0502 |
| Laurie Miller | Nurse Practitioner | Memphis Psychiatric and Addiction Clinic, PC | 8356 Silverwind Dr, Memphis, TN 38125-0767 |
| Allyson B Williams | Nurse Practitioner | Memphis Psychiatric and Addiction Clinic, PC | 8356 Silverwind Dr, Memphis, TN 38125-0767 |
| Radwan R Khuri | Psychiatry | Memphis Psychiatric and Addiction Clinic, PC | 8356 Silverwind Dr, Memphis, TN 38125-0767 |
| Lisa D Pesnell | Qualified Audiologist | Shea Center for Ears, Hearing and Balance Inc. | 3265 W Sarazens Circle, Suite 102, Memphis, TN 38125-0806 |
| John J Shea Iii | Otolaryngology | Shea Center for Ears, Hearing and Balance Inc. | 3265 W Sarazens Circle, Suite 102, Memphis, TN 38125-0806 |
| Danielle Leblanc Thompson | Optometry | 7525 Winchester Rd, Memphis, TN 38125-2202 | |
| Find all physicians in zip 38125 | |||
| City | MEMPHIS |
| Zip Code | 38125 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MEMPHIS + OBSTETRICS/GYNECOLOGY |
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| 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.