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MICHAEL T STACK MD PHD, NPI 1770585945

Internal Medicine in INDIANAPOLIS, IN

Last Updated on : Jan 06,2022

About MICHAEL T STACK (NPI 1770585945)


MICHAEL T STACK is an Internal Medicine provider in INDIANAPOLIS, United States. His medical specialization is Internal Medicine with a focus in Rheumatology.

1770585945 is NPI number of MICHAEL T STACK.

MICHAEL T STACK's primary taxonomy code based on NPI Lookup is 207RR0500X with license number 71508. This taxonomy code refers to Internal Medicine.

MICHAEL T STACK has more than 16 years of experience.

MICHAEL T STACK current practice location address is 6551 FORREST COMMONS BLVD, INDIANAPOLIS, IN.

You can also correspond with MICHAEL T STACK through mail at mailing address 6447 S EAST ST STE A, INDIANAPOLIS, IN, United States. Mailing address contact number is 317-859-6364.

The enumeration date of MICHAEL T STACK is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.

1770585945 NPI Information

Name MICHAEL T STACK
National Provider Id (NPI) 1770585945
Entity Type Individual
Gender M
Credential MD PHD
Practice Address 6551 FORREST COMMONS BLVD,
INDIANAPOLIS, IN, United States
Practice Telephone
Practice Fax Number
Mailing Address 6447 S EAST ST STE A ,
INDIANAPOLIS, IN, United States
Mailing Telephone 317-859-6364
Mailing Fax Number 317-859-7537
Enumeration Date 01-Jun-2005
Last Updated Date 06-Jan-2022

MICHAEL T STACK (NPI 1770585945) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207RR0500X Internal Medicine, Rheumatology 71508 WI

MICHAEL T STACK (NPI 1770585945) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 1744R1102X Specialist, Research Study 01026374 IN
N 207RR0500X Internal Medicine, Rheumatology 01026374 IN

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
000000318888 Other (non-Medicare) (01) IN blue cross blue shield
100083069 MEDICAID (05) WI
100133510b MEDICAID (05) IN
1265457774 Other (non-Medicare) (01) office/group npi
214850A MEDICARE PIN (08)
P00177103 MEDICARE PIN (08)
c24844 MEDICARE UPIN (02) IN

MICHAEL T STACK (NPI 1770585945) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1366553570 GARY L BRESLAUER Dental Assistant 6117 N COLLEGE AVE,
INDIANAPOLIS, ID, United States
31-Aug-2006
1033214945 JUDY MOORMAN BIRT Nurse Practitioner 1481 W 10TH STREET, AMB 11
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14-Sep-2006
1225306913 MARIA VICTORIA HERBOLARIO Contractor 5980 W 71ST ST STE 102,
INDIANAPOLIS, IL, United States
08-Dec-2011
1922164631 ROBERT A STONER Dentist, Orthodontics and Dentofacial Orthopedics 8902 N MERIDIAN ST, SUITE 137
INDIANAPOLIS, IL, United States
28-Dec-2006
1366508483 RICHARD (RICK) D SPENCER Social Worker, Clinical 6284 RUCKER RD, SUITE N
INDIANAPOLIS, IN, United States
01-Jan-2007
1730364431 NANCY G EVANS Physical Therapist PO BOX 40696,
INDIANAPOLIS, IN, United States
01-Jan-2008
1053732404 NANCY HENEIN Psychologist, Clinical 70 E 91ST ST, SUITE 210
INDIANAPOLIS, IN, United States
01-Jan-2014
1316335144 DAMIA L SCOTT Nurse Practitioner, Family 437 BAGLEY LN,
INDIANAPOLIS, IN, United States
01-Jan-2015
1619333978 SUSAN JENNIFER ZWEIG Pharmacist, Pharmacotherapy 8111 S EMERSON AVE,
INDIANAPOLIS, IN, United States
01-Jan-2016
1952818809 KATHLEEN A. GANNON Nurse Practitioner, Family 8501 HARCOURT RD,
INDIANAPOLIS, IN, United States
01-Jan-2018
1184263600 TAYLOR DANIELLE CARLSGAARD Nurse Practitioner, Family PO BOX 781076,
DETROIT, MI, United States
01-Jan-2020
1164589073 CHRISTINE MARIE DOCKREY Counselor, Mental Health 7 E HENDRICKS ST,
SHELBYVILLE, IN, United States
02-Jan-2007
1558428482 PHYSIOTHERAPY ASSOCIATES INC Clinic/Center, Physical Therapy 301 E NEW YORK ST,
INDIANAPOLIS, IN, United States
02-Jan-2007
1386701233 CLARK GRAFTON SCOTT Chiropractor 5750 E 91ST ST STE B,
INDIANAPOLIS, IN, United States
02-Jan-2007
1154488963 COLE VISION CORPORATION Eyewear Supplier (Equipment, not the service) 3919 LAFAYETTE RD, LAFAYETTE SQ #400
INDIANAPOLIS, IN, United States
02-Jan-2007
1477610293 WESLEY BLAKE WONG Psychiatry & Neurology, Neurology 4753 E 136TH ST,
CARMEL, IN, United States
02-Jan-2007
1902963507 CARL LERNER Dentist, Periodontics 8937 SOUTHPOINTE DR, SUITE A-2
INDIANAPOLIS, IN, United States
02-Jan-2007
1588849285 DAWN WAFER Licensed Practical Nurse 319 S 12TH ST,
RICHMOND, IN, United States
02-Jan-2008
1245415819 TAMARA ABERNATHY Licensed Practical Nurse 3002 E 34TH ST,
INDIANAPOLIS, IN, United States
02-Jan-2008
1366788861 JESSICA WITTBRODT Speech-Language Pathologist, 4920 ENCORE DR, APT 11
INDIANAPOLIS, IN, United States
02-Jan-2013

FAQs

Whose NPI Number is 1770585945?

1770585945 is the NPI number of MICHAEL T STACK.

What is the specialty for MICHAEL T STACK?

The Specialty of MICHAEL T STACK is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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