GARY STACK MD
NPI 1487694535
Urology in Everett, WA
- 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 19 years ago.
- NPI
- 1487694535 Verify this NPI
- 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
- Code Navigator
Location Map
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 |
|---|---|---|---|
| A09307 | MEDICARE UPIN (02) | ||
| 1067305 | MEDICAID (05) | WA | |
| 0050032 | OTHER (01) | WA | LABOR AND INDUSTRY |
| MD00012487 | OTHER (01) | WA | STATE LICENSE NUMBER |
| AB13070 | MEDICARE PIN (08) | WA |
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
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.
