GARY E STACK MD NPI 1982687463

NPI Information

NPI: 1982687463
Provider Name: GARY E STACK, MD
Classification: Pathology - 207ZP0105X
Entity Type: Individual

Specialization: Clinical Pathology/Laboratory Medicine

Address:
800 HOWARD AVE
YALE PHYSICIANS BUILDING
NEW HAVEN, CT
ZIP 06519
Phone: (203) 785-2140
Get Directions

Gary E Stack, MD is a clinical pathology/laboratory medicine pathology in New Haven, CT. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Gary E Stack, MD NPI is 1982687463. 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:

800 HOWARD AVE
YALE PHYSICIANS BUILDING
NEW HAVEN, CT
ZIP 06519-369
Phone: (203) 785-2140

The enumeration date for this NPI number is 11/29/2005 and was last updated on 7/27/2009.

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	207ZB0001X	Pathology	Blood Banking & Transfusion Medicine	031831	CONNECTICUT	No
2	207ZP0105X	Pathology	Clinical Pathology/Laboratory Medicine	031831	CONNECTICUT	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	F01012	MEDICARE UPIN
2	220000352	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
3	001318311	MEDICAID	CONNECTICUT

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: 4/28/2024

NPI Synchronization or Removal

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