Dr. Andrew Phillip Stack

MD | Pediatric Critical Care Medicine | Male

Dr. Andrew Phillip Stack, MD is a Savannah, Georgia based Pediatric doctor with medical specialization in Pediatric Critical Care Medicine. Current practice location of Dr. Andrew Phillip Stack is 4700 Waters Ave, Savannah, Georgia - 31404-6220. He can be contacted on phone at 912-350-8180 and fax number 912-350-5697. Dr. Andrew Phillip Stack is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Andrew Phillip Stack is 1902063407 which was assigned by NPPES on 21 May, 2008 and it was last updated on 19 Jan, 2022. Dr. Andrew Phillip Stack license number is 071886 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Georgia.
Dr. Andrew Phillip Stack is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. Andrew Phillip Stack basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Pediatric Critical Care Medicine
Provider Name :Dr. Andrew Phillip Stack
Credential :MD
Gender :Male
Business Address:
Dr. Andrew Phillip Stack address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :4700 Waters Ave
Savannah, GA, 31404-6220
United States
Phone Number :912-350-8180
Fax Number :912-350-5697
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1902063407
NPI Entity Type : Individual
First Enrolment Date : 21 May, 2008
Last Updated On : 19 Jan, 2022
Medicare Participation:
Dr. Andrew Phillip Stack participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :6406071471
Medicare Enrollment ID :I20140707001803
Primary Specialty :Pediatric Medicine
Medical School :Jc Edwards School Of Medicine, Marshall University
Graduation Year :2008
Accepts Medicare?Yes. Dr. Andrew Phillip Stack accepts medicare insurance.
Group Practice Association:
Dr. Andrew Phillip Stack is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Andrew Phillip Stack is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
Savannah Pediatric Care Llc8921353954104700 Waters Ave
Savannah, GA - 314046220
Ph: 9123506543
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Andrew Phillip Stack are as mentioned. Primary taxonomy code for Dr. Andrew Phillip Stack, MD is 2080P0203X (Pediatrics Pediatric Critical Care Medicine).
Taxonomy Code SpecialityPrimaryLicense No.State
2080P0203XPediatrics Pediatric Critical Care MedicineYes071886GA
207L00000XAnesthesiologyNo071886GA
Legacy Identifiers:
Other legacy medical identifiers of Dr. Andrew Phillip Stack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
003146322AMEDICAIDGA
P01335436OtherGARAILROAD MEDICARE
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
DIRECT
(Direct Messaging Address)
astack49890@epicsav.hcadirect.net

No affiliation



4700 WATERS AVE,
SAVANNAH, GA, 31404-6220
United States
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :4700 Waters Ave
Savannah, GA, 31404-6220
United States
Phone Number :912-350-8180
Fax Number :912-350-5697
Business Location:
Patients can refer following map for directions to Dr. Andrew Phillip Stack practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.