Active NPI
Stacy Pollack
- Obstetrics Physician
- Batesville, AR
National Provider Identifier
1457770372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- E-11195
- Practice address
- 1215 Sidney St Ste 202
Batesville, AR 72501 - Phone
- (870) 262-2000
- NPI assigned
- Apr 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | E-11195 | AR | |
| Obstetrics Physician | 207VX0000X | E-11195 | AR | Primary |
Addresses
Primary practice location
1215 Sidney St Ste 202
Batesville, AR 72501
Mailing address
1215 Sidney St Ste 202
Batesville, AR 72501-7202
Other practice location 1
4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 696-5380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Arkansas College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 Sidney St
Batesville, AR 72501-7202
Phone (870) 262-2000
Hospital & facility affiliations
- White River Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-11195 | AR | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White River Health System, Inc. | Current | Accepting new patients | |
| White River Health System, Inc. | Current | Accepting new patients |
Locations
1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240
1215 Sidney St
Ste 202
Batesville, AR 72501
Phone (870) 262-2000
16 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 269-4361
Interoperability endpoints
- stacy.pollack.1@13831.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Batesville, AR
- NPI 1851470371
-
- Surgery Physician
- Batesville, AR
- NPI 1992125850
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Orthopaedic Surgery Physician
- Batesville, AR
- NPI 1265821193
Hospital
-
- Pain Medicine (Anesthesiology) Physician
- Batesville, AR
- NPI 1558447599
Hospital
-
- General Acute Care Hospital
- Batesville, AR
- NPI 1710943881
-
- Hematology & Oncology Physician
- Batesville, AR
- NPI 1760779607
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1457770372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 SIDNEY ST STE 202",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "725017202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 SIDNEY ST STE 202",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "72501",
"telephone_number": "870-262-2000"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-696-5380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLLACK",
"first_name": "STACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "AR",
"license": "E-11195",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "AR",
"license": "E-11195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Batesville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.