RICHARD ROBERT STACK M.D. NPI 1598707747

NPI Information

NPI: 1598707747
Provider Name: RICHARD ROBERT STACK, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Address:
6403 COYLE AVE
SUITE 450
CARMICHAEL, CA
ZIP 95608
Phone: (916) 482-7621
Get Directions

Richard Robert Stack, M.D. is a pulmonary disease internal medicine in Carmichael, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Richard Robert Stack, M.D. NPI is 1598707747. 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:

6403 COYLE AVE
SUITE 450
CARMICHAEL, CA
ZIP 95608-311
Phone: (916) 482-7621
Fax: (916) 972-7734

The enumeration date for this NPI number is 6/12/2006 and was last updated on 1/17/2013.

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
1	207RI0200X	Internal Medicine	Infectious Disease	G54291	CALIFORNIA	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	G54291	CALIFORNIA	No
3	207RS0012X	Internal Medicine	Sleep Medicine	G54291	CALIFORNIA	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	G54291	CALIFORNIA	Yes

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
1	00G542911	MEDICARE PIN	CALIFORNIA
2	00G542910	MEDICAID	CALIFORNIA
3	A52697	MEDICARE UPIN	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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