Susan M Stack
M.D. | Pediatrics | Female
Susan M Stack, M.D. is a Madison, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Susan M Stack is
1373 E Sr 62, Madison, Indiana - 47250. She can be contacted on phone at
812-801-0300 and fax number 812-801-0585.
Susan M Stack is a sole proprietor of her business.
NPI number (Unique professional ID) for Susan M Stack is
1588696314 which was assigned by NPPES on 06 Jul, 2006 and it was last updated on 20 Feb, 2019.
Susan M Stack license number is
01033162 for Pediatrics (208000000X) in Indiana.
Susan M Stack is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Susan M Stack basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Susan M Stack |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Susan M 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 : | 1373 E Sr 62
Madison, IN, 47250
United States |
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| Phone Number : | 812-801-0300 |
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| Fax Number : | 812-801-0585 |
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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 : | 1588696314 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Jul, 2006 |
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| Last Updated On : | 20 Feb, 2019 |
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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 Susan M Stack are as mentioned. Primary taxonomy code for Susan M Stack, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 01033162 | IN |
Legacy Identifiers:
Other legacy medical identifiers of Susan M Stack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000042214 | Other | IN | ANTHEM BCBS |
| 100148860A | MEDICAID | IN | |
| 4370872 | Other | | AETNA |
| 64759780 | MEDICAID | KY | |
| 410015P | Other | IN | SIHO |
| 1082593 | Other | KY | PASSPORT KY MEDICAID |
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 : | Po Box 3395
Evansville, IN, 47732-3395
United States |
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Business Location:
Patients can refer following map for directions to
Susan M 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.