MICHAEL T. STACK MD PHD – NPI #1770585945
Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
MICHAEL STACK is a physician located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1770585945 to MICHAEL STACK on June 01, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology
The NPI profile was previously updated about 4 years ago on Jan 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL STACK below.
NPI Profile for
MICHAEL T. STACK
(more than 21 years ago)
INDIANAPOLIS, IN 46227-2119 Phone: (317) 859-6364 Fax: (317) 859-7537
1 Other location(s):
Green Bay, WI 54311
Phone: (920) 288-8100
Fax: (920) 288-8153
INDIANAPOLIS, IN 46227-2392 Phone: Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for MICHAEL STACK
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS BLUE SHIELD | IN | 000000318888 |
| OTHER | OFFICE/GROUP NPI | 1265457774 | |
| MEDICAID | IN | 100133510B | |
| MEDICAID | WI | 100083069 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RR0500X - Internal Medicine / Rheumatology (Primary) |
IN | 01026374 |
| 1744R1102X - Specialist / Research Study |
IN | 01026374 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.