DR. COLIN DANIEL STACK (NPI# 1477715571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477715571 |
| Entity Type | Individual |
| Full Name | DR. COLIN DANIEL STACK |
| Credential | M.D. |
| Practice Address |
One Medical Center Drive Emergency Medicine Lebanon NH 03756-0001 |
| Practice Telephone | 6036507254 |
| Mailing Telephone | 6036507254 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 19481 | NH | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 239371 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3116463 | 05 | |
| VT | 1035907 | 05 |
| Street Address |
ONE MEDICAL CENTER DRIVE EMERGENCY MEDICINE |
| City | LEBANON |
| State | NH |
| Zip Code | 03756-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275161655 | Monica Chowdary | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Dhmc Dept of Emergency Medicine, Lebanon, NH 03756-0001 | 2020-03-31 |
| 1326675596 | Benjamin Howard Shapiro | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Dhmc Department of Psychiatry, Lebanon, NH 03756 | 2020-03-26 |
| 1437797685 | Mark S Bilodeau | Physician Assistant | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-12-18 |
| 1962040600 | Janelle Voight Pickering | Registered Nurse | One Medical Center Drive, Anesthesiology, Lebanon, NH 03756-0001 | 2019-12-12 |
| 1417506544 | Rachel Kymberly Rooke | Nurse Practitioner | One Medical Center Drive, Pediatric Cardiology, Lebanon, NH 03756-0001 | 2019-09-11 |
| 1396398145 | Gemma Brooke Ogilvie Pentland | Nurse Practitioner | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-07-22 |
| 1164084778 | Susan Z Berg | Genetic Counselor, MS | One Medical Center Drive, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756 | 2019-07-03 |
| 1215599295 | Chelsea E Salomon | Nurse Anesthetist, Certified Registered | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-07-01 |
| 1124683222 | Brianne Marie Tansey | Nurse Anesthetist, Certified Registered | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-05-03 |
| 1851954945 | Jane B Vasquez | Nurse Practitioner | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
| 1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
| 1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
| 1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
| 1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
| 1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
| 1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
| 1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
| Find all providers in zip 03756 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316479496 | Sormeh Harounzadeh | Emergency Medicine | 65 On The Grn, Lebanon, PA 17042-9473 | 2017-03-29 |
| 1518252964 | Medexpress Urgent Care, PC - Pennyslvania | Emergency Medicine | 1010 W Crestview Dr, Lebanon, PA 17042-7415 | 2011-06-14 |
| 1891929527 | James Michael Mcweeney | Emergency Medicine | 520 Mcclure Rd, Lebanon, OH 45036-9317 | 2009-05-09 |
| 1588762611 | Karl C Lewis | Emergency Medicine | 58 Carroll and Tate Streets, Call Box 3600, Lebanon, VA 24266 | 2006-09-20 |
| 1326141672 | Norman Rexrode Jr. | Emergency Medicine | 3600 Tate and Carroll Streets, Lebanon, VA 24266 | 2006-09-05 |
| 1316051683 | Scott P Giles | Emergency Medicine | 115 Winwood Dr Ste 205, Lebanon, TN 37087-1399 | 2006-08-17 |
| 1326064460 | Good Samaritan Physician Services | Emergency Medicine | 4th and Willow Streets, Lebanon, PA 17042-0300 | 2006-07-14 |
| 1265468169 | Russell Hal Mcune | Emergency Medicine | 35632 Brewster Rd, Lebanon, OR 97355-9452 | 2006-06-23 |
| 1639140585 | Karen L Oldham | Emergency Medicine | 2395 Cedar Grove Rd, Lebanon, TN 37087-7991 | 2006-01-30 |
| 1255328787 | Andrew Winge | Emergency Medicine | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2005-09-30 |
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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.