STACY POLLACK (NPI# 1457770372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
4301 W Markham St, Little Rock, AR 722057101 | 5016965380 |
Street Address |
1215 SIDNEY ST STE 202 |
City | BATESVILLE |
State | AR |
Zip Code | 72501 |
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 |
Find all providers in zip 72501 |
Taxonomy Code | 207VX0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Obstetrics |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | BATESVILLE |
Zip Code | 72501 |
Please comment or provide details below to improve the information on STACY POLLACK.
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.