ROBERT MICHAEL STACK MD NPI 1134111461

NPI Information

  • NPI: 1134111461
  • Provider Name: ROBERT MICHAEL STACK, MD
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • Address: 675 AVENIDA DE MESILLA
    LAS CRUCES, NM
    ZIP 88005
  • Phone: (505) 525-3535

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NPI Details

Robert Michael Stack, MD is an orthopaedic surgery in Las Cruces, NM. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Robert Michael Stack, MD NPI is 1134111461. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

675 AVENIDA DE MESILLA
LAS CRUCES, NM
ZIP 88005
Phone: (505) 525-3535
Fax: (505) 527-0217

The enumeration date for this NPI number is 8/23/2005 and was last updated on 10/29/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery78268NEW MEXICOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
139445593OTHERNEW MEXICOCHAMPUS
2D35981MEDICARE UPIN
32126153MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICO
42666OTHERNEW MEXICOBC BS
526210OTHERNEW MEXICOPRESBYTERIAN
688005C005OTHERNEW MEXICOTRICARE
70761430001OTHERNEW MEXICODMERC
816010OTHERNEW MEXICOHMO

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: 11/21/2025

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