DR. SARAH MICHELLE LEE STACK (NPI# 1437473097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437473097 |
| Entity Type | Individual |
| Full Name | DR. SARAH MICHELLE LEE STACK |
| Other Name | SARAH ML KEEFER |
| Credential | MD |
| Practice Address |
106 La Casa Via Ste 220 Walnut Creek CA 94598-3012 |
| Practice Telephone | 6504978000 |
| Mailing Telephone | 6504978000 |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
A162678 | CA | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
MD60652463 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649687260 | Sarah Stack | Physical Therapy Assistant | 709 Black Bear Run, Lagrange, OH 44050 | 2014-07-15 |
| 1013419688 | Sarah Lewis Stack | Acupuncturist | 720 14th St, Golden, CO 80401-1907 | 2018-02-28 |
| Street Address |
106 LA CASA VIA STE 220 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801945647 | John Muir Trauma Physician Medical Group | Pediatrics | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751540 | Guillermo A. Young, Md Inc | Pediatrics | 1300 N Vermont Ave Ste 402, Los Angeles, CA 90027-6086 | 2019-10-16 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1477019669 | Pediatric Cardiac Center Inc | Pediatrics | 433 Del Norte Ave, Yuba City, CA 95991-4113 | 2019-02-13 |
| 1467885889 | Searle William Turner | Pediatrics | 5351 Avenida Maravillas, #118, Rancho Santa Fe, CA 92067-0118 | 2013-08-21 |
| 1245505866 | Pediatrix Cardiology of Orange County, P.C. | Pediatrics | 1010 W. La Veta Ave, Suite 575, Orange, CA 92868-4305 | 2012-03-15 |
| 1346511235 | Apichai Khongphatthanayothin | Pediatrics | 2020 Zonal Ave, Ird Room 111, Los Angeles, CA 90033 | 2012-01-24 |
| 1881985349 | Sanjay P Sinha | Pediatrics | 1140 W La Veta Ave Ste 750, Orange, CA 92868-4217 | 2011-05-02 |
| 1346531787 | Cassandra Hing-jen Sung | Pediatrics | 350 E Vanderbilt Way Ste A, San Bernardino, CA 92408 | 2011-04-19 |
| 1215258124 | Alexander Lowenthal | Pediatrics | 505 Parnassus Ave Rm 1235, San Francisco, CA 94143-2204 | 2010-06-15 |
| 1518283134 | Susanna Tran | Pediatrics | 50 Bellefontaine St Ste 405, Pasadena, CA 91105-3132 | 2010-04-08 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.