DR. MARIA N.C. STACK (NPI# 1861490104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861490104 |
| Entity Type | Individual |
| Full Name | DR. MARIA N.C. STACK |
| Credential | M.D. |
| Practice Address |
680 S Main St Ste. 205 Cheshire CT 06410-3181 |
| Practice Telephone | 2036999898 |
| Practice Fax Number | 2032507878 |
| Mailing Telephone | 2036999898 |
| Mailing Fax Number | 2032507878 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2016-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 028514 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
028514 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568618148 | Maria Patricia Stack | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Division of Nephrology, Children's Hospital Boston, Boston, MA 02115-5724 | 2008-08-14 |
| 1831374503 | Maria Helen Stack | Developmental Therapist | 55 Dimock St, Roxbury, MA 02119-1029 | 2007-12-31 |
| Street Address |
680 S MAIN ST STE. 205 |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-3181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769092 | Alie Bates | Social Worker | 680 S Main St, Cheshire, CT 06410-3181 | 2020-01-21 |
| 1306232293 | Shila Patel | Physical Therapist | 680 S Main St, Suite 102, Cheshire, CT 06410-3181 | 2015-04-08 |
| 1881836583 | Connecticut Orthopaedic Specialists, PC | Durable Medical Equipment & Medical Supplies | 680 S Main St, Suite 102, Cheshire, CT 06410-3181 | 2009-03-27 |
| 1245479948 | J.t. Bristol, M.d., LLC | Internal Medicine | 680 S Main St, Suite 102, Cheshire, CT 06410-3181 | 2009-02-19 |
| 1336343854 | Temple Health Services, LLC | Physical Medicine & Rehabilitation | 680 S Main St, Suite 102, Cheshire, CT 06410-3181 | 2007-06-11 |
| 1619964475 | Heather Lynn Garretson | Physical Therapist | 680 S Main St, Suite 102, Cheshire, CT 06410-3148 | 2005-10-05 |
| 1104824978 | Mount Carmel Internal Medicine and Geriatrics LLC | Internal Medicine | 680 S Main St, Suite 205, Cheshire, CT 06410-3181 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549252 | Piece To Peace, LLC | Social Worker | 609 West Johnson Avenue, Third Floor, Cheshire, CT 06410 | 2020-02-05 |
| 1023678869 | Suzanne Meyer-farrell | Counselor | 673 South Avenue, Cheshire, CT 06410 | 2019-06-14 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1528558525 | Stephen Lynam | Specialist/Technologist | 300 Wiese Rd, Cheshire, CT 06410 | 2018-05-15 |
| 1205358934 | Jayme Lynn Tapp | Physical Therapist | 150 Cook Hill Road, Cheshire, CT 06410 | 2017-07-14 |
| 1366810152 | Lauren K Johnson | Counselor | 609 W Johnson Ave Unit 310, Cheshire, CT 06410 | 2015-09-10 |
| 1225423924 | Christian Daniel Ward | Internal Medicine | 366 S Main St Ste 2, Cheshire, CT 06410 | 2015-03-31 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1619398427 | Joanna Garfinkle | Psychologist | 1095 South Main Street, Cheshire, CT 06410 | 2013-12-20 |
| 1649511437 | Heather R Laselle | Social Worker | 176 Robin Ln, Cheshire, CT 06410 | 2013-03-05 |
| Find all providers in zip 06410 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1104824978 | Mount Carmel Internal Medicine and Geriatrics LLC | Internal Medicine | 680 S Main St, Suite 205, Cheshire, CT 06410-3181 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427612100 | Holistic Healing Partners, LLC | Internal Medicine | 290 Baxter Ln, Milford, CT 06460-6813 | 2019-04-28 |
| 1003113762 | Jennifer Anne Freimund | Internal Medicine | 1450 Chapel St Ste 107, New Haven, CT 06511-4405 | 2011-02-16 |
| 1720211444 | Joseph Daniel Demayo | Internal Medicine | 66 Skyline Dr, Middlebury, CT 06762-1717 | 2009-08-27 |
| 1679701882 | Southern Connecticut Geriatric & Preventive Medicine LLC | Internal Medicine | 4 Sagamore Cove Rd, Branford, CT 06405-5020 | 2009-06-25 |
| 1184896151 | Geriatric Medicine Consultants Home Visit Practice, LLC | Internal Medicine | 33 Birch Rd, West Hartford, CT 06119-1009 | 2008-03-30 |
| 1083814339 | Lefkowitz & Scollan, M.d.'s,llc | Internal Medicine | 469 E Main St, Meriden, CT 06450-6027 | 2007-07-24 |
| 1326116948 | Barney Spivack | Internal Medicine | 101 Long Lots Rd, Westport, CT 06880-3919 | 2006-12-01 |
| 1447267026 | Casey Ott | Internal Medicine | 22 Old Waterbury Rd # 103, Southbury, CT 06488-3848 | 2006-08-03 |
| 1447264155 | Audrey Lefkowitz | Internal Medicine | 469 E Main Street, Meriden, CT 06450 | 2006-07-28 |
| 1477583540 | Geraldine M Fabregas | Internal Medicine | 280 Alden Ave, New Haven, CT 06515-2114 | 2006-07-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MARIA N.C. STACK.
| 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.