GARY STACK MD
NPI 1487694535
Urology in Everett, WA

NPI Status: Active since June 07, 2006

Contact Information

4310 COLBY AVE
SUITE 203
EVERETT, WA
ZIP 98203
Phone: (425) 252-8102

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  • Individual
  • Male
  • Urology

About GARY STACK

This page provides the complete NPI Profile along with additional information for Gary Stack, a provider established in Everett, Washington with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1487694535 assigned on June 2006. The practitioner's primary taxonomy code is 208800000X with license number MD00012487 (WA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1487694535
Provider Name
GARY STACK MD
Gender
Male
Entity Type
Individual
Location Address
4310 COLBY AVE SUITE 203 EVERETT, WA 98203
Location Phone
(425) 252-8102
Mailing Address
4310 COLBY AVE SUITE 203 EVERETT, WA 98203
Mailing Phone
(425) 252-8102
Is Sole Proprietor?
No
Enumeration Date
06-07-2006
Last Update Date
01-12-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
MD00012487
License State
WA
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A09307MEDICARE UPIN (02) 
1067305MEDICAID (05)WA 
0050032OTHER (01)WALABOR AND INDUSTRY
MD00012487OTHER (01)WASTATE LICENSE NUMBER
AB13070MEDICARE PIN (08)WA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487694535
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167129856
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 2 + 9 + 8 + 5 + 6 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1487694535 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

DR. KRISTIN K SCHAAF PH.D.

Psychologist

(Clinical)

4310 COLBY AVE
SUITE 201
EVERETT, WA
ZIP 98203

(425) 252-7000

DR. ANNE EILEEN NIGGEMEYER PH.D.

Psychologist

4310 COLBY AVE
SUITE201
EVERETT, WA
ZIP 98203

(425) 252-7000

WILLOW I RADFORD LMP

Massage Therapist

4310 COLBY AVE
202
EVERETT, WA
ZIP 98203

(425) 257-9713

BRIAN CHI-MING FONG MD

Urology

4310 COLBY AVE
SUITE 203
EVERETT, WA
ZIP 98203

(425) 252-8102

TERRY SPARK CORWIN MD

Urology

4310 COLBY AVE
SUITE 203
EVERETT, WA
ZIP 98203

(425) 252-8102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487694535, enumerated as an "individual" on June 07, 2006.

The provider is located at 4310 COLBY AVE SUITE 203 EVERETT, WA 98203 and the phone number is (425) 252-8102.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.