PATRICK W STACK M.D.
NPI 1710918891
Pediatrics in Madison, IN

Q: What is Patrick Stack's NPI number?

The NPI number for Patrick Stack is 1710918891. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Patrick Stack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patrick Stack was last updated on February 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 06, 2006

1373 E SR 62, MADISON, IN 47250(812) 801-0300(812) 801-0585 Get Directions Write a Review

NPPES record last updated: February 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2019, Jul 5, 2018, Nov 14, 2016 (3 updates tracked since 2016).

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About Patrick W Stack M.d. NPPES

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

PATRICK W STACK M.D. (NPI 1710918891) is an individual pediatrics provider in Madison, Indiana, licensed in Indiana (01033161) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1710918891

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NamePATRICK W STACKCredential: M.D.

Location Address1373 E SR 62Madison, IN 47250

Mailing AddressPo Box 3395Evansville, IN 47732-3395

Phone(812) 801-0300

Fax(812) 801-0585

Sole ProprietorNo

Enumeration DateJuly 6, 2006

Last NPPES UpdateFebruary 20, 20193 updates tracked since enumeration

✔ NPI 1710918891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01033161

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.

1373 E SR 62, Madison, IN 47250

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Other Identifiers 7

Other2435578000KY · Passport Advantage

Medicaid100148850AIN

Other412626PIN · Siho

Medicaid64759798KY

Other000000042211IN · Anthem Bcbs

Other4370916Aetna

Other1082594KY · Passport Ky Medicaid

Other Providers at the Same Location NPPES 12

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

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