PATRICK W. STACK M.D. – NPI #1710918891
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

PATRICK STACK is a physician located in MADISON, IN. NPPES has assigned the NPI number 1710918891 to PATRICK STACK on July 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 7 years ago on Feb 20, 2019. 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 PATRICK STACK below.

NPI Profile for
PATRICK W. STACK

NPI Number
1710918891
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PATRICK W. STACK
Credentials
M.D.
Primary location
1373 E SR 62
MADISON, IN 47250
Phone: (812) 801-0300 Fax: (812) 801-0585
Mailing address
PO BOX 3395
EVANSVILLE, IN 47732-3395
Phone: Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for PATRICK 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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA4370916
OTHERANTHEM BCBSIN000000042211
OTHERPASSPORT ADVANTAGEKY2435578000
OTHERPASSPORT KY MEDICAIDKY1082594
OTHERSIHOIN412626P
MEDICAIDIN100148850A
MEDICAIDKY64759798
Taxonomy Code(s)

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
208000000X
- Pediatrics (Primary)
IN 01033161

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.