DR. ERIC GERAND STACKLE MD
NPI 1922110188
Family Medicine in Boise, ID

Q: What is Eric Stackle's NPI number?

The NPI number for Eric Stackle is 1922110188. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Eric Stackle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Stackle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 31, 2006

2429 NORTH COLE ROAD, BOISE, ID 83704(208) 377-4190(208) 358-9157 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Eric Gerand Stackle Md NPPES

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

DR. ERIC GERAND STACKLE MD (NPI 1922110188) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (M3313) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1922110188

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ERIC GERAND STACKLECredential: MD

Location Address2429 NORTH COLE ROADBoise, ID 83704-5907

Mailing Address2429 North Cole RoadBoise, ID 83704-5907 · (208) 377-4190 · Fax (208) 358-9157

Phone(208) 377-4190

Fax(208) 358-9157

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1922110188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M3313

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2429 NORTH COLE ROAD, Boise, ID 83704

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Other Identifiers 2

Medicare UPINB63247

Medicaid1110175ID

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 Eric Stackle's NPI number?

The NPI number for Eric Stackle is 1922110188. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Eric Stackle located?

Eric Stackle practices at 2429 North Cole Road, Boise, ID 83704. The listed phone number is (208) 377-4190.

What is Eric Stackle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Eric Stackle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.