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DR. KATHRYN O'SULLIVAN STACK MD
NPI 1174147540
Pediatrics in Philadelphia, PA

Active since June 02, 2020
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-1220 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathryn O'sullivan Stack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHRYN O'SULLIVAN STACK MD (NPI 1174147540) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT221148) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1174147540
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATHRYN O'SULLIVAN STACKCredential: MD
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (215) 590-1220
Phone(215) 590-1220
Sole ProprietorNo
Enumeration DateJune 2, 2020
NPPES CertifiedJune 2, 2020
✔ NPI 1174147540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MT221148
Definition
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.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Stack's NPI number?

The NPI number for Kathryn Stack is 1174147540. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Kathryn Stack located?

Kathryn Stack practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1220.

What is Kathryn Stack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kathryn Stack was last updated on June 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.