STACY POLLACK


Address: 1215 Sidney St Ste 202, Batesville, AR 72501
Phone: 8702622000

STACY POLLACK (NPI# 1457770372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457770372
Entity Type Individual
Full Name STACY POLLACK
Practice Address 1215 Sidney St Ste 202
Batesville
AR 72501
Mailing Address 1215 Sidney St Ste 202
Batesville
AR 72501-7202
Practice Telephone 8702622000
Enumeration Date 2014-04-08
Last Update Date 2018-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
E-11195 AR Allopathic & Osteopathic Physicians
Y 207VX0000X Obstetrics & Gynecology
Specialization: Obstetrics
E-11195 AR Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4301 W Markham St, Little Rock, AR 722057101 5016965380

Office Location

Street Address 1215 SIDNEY ST STE 202
City BATESVILLE
State AR
Zip Code 72501

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689137234 Surya Boopathy Student in an Organized Health Care Education/Training Program White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 2019-04-10
1245792530 Shiyu Wang Student in an Organized Health Care Education/Training Program White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 2019-04-04
1023598828 Northeast Arkansas Community Mental Health Center Inc Community/Behavioral Health 16520 White Dr., Batesville, AR 72501 2018-08-21
1437655040 Bradely Stout Social Worker 1650 White Drive, Batesville, AR 72501 2018-04-03
1104342799 Bobbi Tosh Nurse Practitioner 413 Virginia Drive, Batesville, AR 72501 2017-08-16
1912457854 Melanie Ashleigh Brashers Occupational Therapy Assistant 1925 White Drive, Batesville, AR 72501 2016-10-04
1588112346 Chelli Pollet Developmental Therapist 1000 White Dr, Batesville, AR 72501 2016-09-21
1184170482 Taylor Mynatt Speech-Language Pathologist 1000 White Drive, Batesville, AR 72501 2016-08-28
1346626165 Edward Shaw Pharmacist 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 2015-08-04
1053753780 Justin Duane Piker Pharmacist 1045 S St Louis St, Batesville, AR 72501 2013-07-23
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Taxonomy Information

Taxonomy Code 207VX0000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Obstetrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417554015 Embrace Fmo Obstetrics & Gynecology 1502 Se 28th St Ste 2, Bentonville, AR 72712-0076 2020-10-06
1518327287 St. Bernards Hospital, Inc Obstetrics & Gynecology 4334 E Highland Dr Ste B, Jonesboro, AR 72401-6621 2016-02-24
1215147418 John S.white,m.d. Obstetrics & Gynecology 1521 N 10th St Ste E, Blytheville, AR 72315-1424 2007-05-23
1164491270 James Douglas Studdard Obstetrics & Gynecology 9501 Baptist Health Dr, Ste. 800, Little Rock, AR 72205-6225 2006-03-14
1235505074 Rebecca Cisneros Obstetrics & Gynecology 7301 Rogers Ave, Fort Smith, AR 72903 2015-08-17
1124411095 Robert P Young Obstetrics & Gynecology 10720 N Rodney Parham Rd, Suite B5, Little Rock, AR 72212-4177 2015-03-16
1548662182 Omar Aziz Obstetrics & Gynecology 1200 Mclain St, Newport, AR 72112 2014-09-25
1558626556 Natalie Zoe Eiland Obstetrics & Gynecology 603-2 N Progress Ave Ste 100, Siloam Springs, AR 72761-4113 2012-07-06
1073893665 Magnolia Regional Medical Center Obstetrics & Gynecology 101 Hospital Drive, Magnolia, AR 71753 2011-08-26
1497966808 Carl Michael Riddell Obstetrics & Gynecology 5800 W 10th St, Ste.401, Little Rock, AR 72204-1752 2007-05-25
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Competitor

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City BATESVILLE
Zip Code 72501

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Dataset Information

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.

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