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DR. MARC DENTON STAM MD NPI 1487690186


NPI Information

NPI: 1487690186
Provider Name: DR. MARC DENTON STAM, MD
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual
Organization: THE DULUTH CLINIC LTD

PECOS Registration: Yes

Address:
600 LEXINGTON AVE
FORT SMITH, AR
ZIP 72901
Phone: (479) 709-7025
Get Directions

DR. Marc Denton Stam, MD is a thoracic surgery cardiothoracic vascular surgery in Fort Smith, AR with 36 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Marc Denton Stam, MD NPI is 1487690186. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1988

The provider's business location address is:

600 LEXINGTON AVE
FORT SMITH, AR
ZIP 72901-737
Phone: (479) 709-7025
Fax: (479) 709-7026

The NPI 1487690186 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Heart artery bypass to repair one artery (HCPCS:33533)

The enumeration date for this NPI number is 6/21/2006 and was last updated on 10/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)0101224774VIRGINIANo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)DR.0054365COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100X428W02MEDICARE PINVIRGINIA
215573MEDICAIDNORTH DAKOTA
3N718403MEDICARE PINNORTH DAKOTA
4N715938MEDICARE PINNORTH DAKOTA
5010055431MEDICAIDVIRGINIA
6E84682MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.