Gerald E. Stack M.D., Apmc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

016009 Issued in LA

Legal business name

GERALD E. STACK M.D., APMC

Practice address

8786 Goodwood Blvd
Suite 106
Baton Rouge, LA 70806-7917

Phone

(225) 924-0244

Fax

(225) 924-0340

NPI assigned

Feb 22, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tammy Betz

Title

Practice Manager

Phone

(225) 924-0244

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1356614218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8786 GOODWOOD BLVD",
            "address_2": "SUITE 106",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8786 GOODWOOD BLVD",
            "address_2": "SUITE 106",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067917",
            "telephone_number": "225-924-0244",
            "fax_number": "225-924-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD E. STACK M.D., APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "BETZ",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "225-924-0244"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "016009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1338591",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.