RICHARD ROBERT STACK (NPI# 1598707747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598707747 |
| Entity Type | Individual |
| Full Name | RICHARD ROBERT STACK |
| Credential | M.D. |
| Practice Address |
6403 Coyle Ave Suite 450 Carmichael CA 95608-0311 |
| Mailing Address |
3637 Mission Ave Suite 7 Carmichael CA 95608-2946 |
| Practice Telephone | 9164827621 |
| Practice Fax Number | 9169727734 |
| Mailing Telephone | 9164827621 |
| Mailing Fax Number | 9169727734 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
G54291 | CA | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
G54291 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
G54291 | CA | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
G54291 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G542910 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700184108 | Richard Sean Stack | Internal Medicine | 1414 Raleigh Rd Ste 415, Chapel Hill, NC 27517-8834 | 2011-03-09 |
| 1376519017 | Richard S. Stack | Urology | 1 Jarrett White Rd, Tripler Army Medical Center, Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | 2006-02-23 |
| Street Address |
6403 COYLE AVE SUITE 450 |
| City | CARMICHAEL |
| State | CA |
| Zip Code | 95608-0311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505998 | James R Cotton | Physician Assistant | 6403 Coyle Ave, Suite 170, Carmichael, CA 95608-0311 | 2005-08-10 |
| 1588106884 | Alex Conway | Physical Therapist | 6403 Coyle Ave, Suite 350, Carmichael, CA 95608-0311 | 2016-11-17 |
| 1184173916 | Leslie Goodwin | Physical Therapy Assistant | 6403 Coyle Ave, Ste. 350, Carmichael, CA 95608-0311 | 2016-09-21 |
| 1093155327 | Chad Everett Spears | Physician Assistant | 6403 Coyle Ave, Suite 170, Carmichael, CA 95608-0311 | 2013-07-01 |
| 1891074241 | Chad Allan York | Physician Assistant | 6403 Coyle Ave, Suite 170, Carmichael, CA 95608-0363 | 2011-08-16 |
| 1194853085 | Craig N. Pfeiffer, M.d., Inc. | Neurological Surgery | 6403 Coyle Ave, Suite 260, Carmichael, CA 95608-0311 | 2007-03-01 |
| 1538220587 | Hanger Prosthetics & Orthotics West Inc. | Prosthetic/Orthotic Supplier | 6403 Coyle Ave, Suite 380, Carmichael, CA 95608-0311 | 2006-12-13 |
| 1437191657 | Peter Joseph Murphy | Internal Medicine | 6403 Coyle Ave, Suite 450, Carmichael, CA 95608-0311 | 2006-06-12 |
| 1821041534 | Northern California Orthopedic Centers Medical Group | Orthopaedic Surgery | 6403 Coyle Ave, Ste 170, Carmichael, CA 95608-0363 | 2006-05-17 |
| 1306835939 | Thomas Angelo Del Zotto | Podiatrist | 6403 Coyle Ave, #390, Carmichael, CA 95608-0311 | 2005-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776042 | Amari Home Health Care Inc. | Home Health | 6722 Fair Oaks Blvd., Suite 203, Carmichael, CA 95608 | 2020-09-29 |
| 1891333621 | Sonya Michelle Hernandez | Durable Medical Equipment & Medical Supplies | 5110 Ramona Vista Way, Carmichael, CA 95608 | 2019-12-11 |
| 1922640903 | Sacramento County Office of Education | Clinic/Center | Barrett Middle School/san Juan Unified School District, 4243 Barrett Road, School Counseling Office, Carmichael, CA 95608 | 2019-10-11 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1124534920 | Svitlana Plaschke | Nurse Practitioner | 5740 Windmill Way Ste 5, Carmichael, CA 95608 | 2017-12-17 |
| 1144770256 | Sacramento Foot and Ankle Center, Inc | Podiatrist | 5120 Manzanita Ave, Suite 100, Carmichael, CA 95608 | 2016-10-12 |
| 1457725202 | Sarah Beshay | Pharmacist | 4960 Heatherdale Ln, Carmichael, CA 95608 | 2015-11-17 |
| 1568835981 | Shivam Nand | Dentist | 2447 Mission Ave Ste B, Carmichael, CA 95608 | 2015-11-06 |
| 1487063434 | Alejandro Saropdas Mendoza | Pathology | Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 95608 | 2014-08-04 |
| 1689014243 | Atkinson Youth Services, Inc. | Community/Behavioral Health | 4718 Engle Road, Carmichael, CA 95608 | 2013-06-27 |
| Find all providers in zip 95608 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801863766 | Delbert Henry Meyer | Internal Medicine | 6945 Fair Oaks Blvd, Suite A-2, Carmichael, CA 95608-3302 | 2006-03-01 |
| 1992797609 | Ghayyur A Qureshi | Internal Medicine | 6555 Coyle Ave Ste 215, Carmichael, CA 95608-0303 | 2005-08-18 |
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| 1205472339 | Christian Gronbeck IIi | Internal Medicine | 37 E Mission Ave, San Rafael, CA 94901-4208 | 2019-11-25 |
| 1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
| City | CARMICHAEL |
| Zip Code | 95608 |
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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.