John David Stack, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13683 Issued in CA

Practice address

1611 Feather River Blvd
Suite #10
Oroville, CA 98685

Phone

(530) 534-4530

Fax

(530) 532-8290

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

77.23 of 100Reported as group

Quality

36.36

Promoting interoperability

100

Improvement activities

40

Cost

71.06

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Orohealth Corporation a Non Profit Healthcare System

  • Family Medicine Physician
  • Oroville, CA
  • NPI 1013933167
  Medicare reassignment
• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1710372909
  NPD (past)
• Oroville Hospital

  • Clinic/Center
  • Oroville, CA
  • NPI 1780788018
  NPD (past)
• Oroville Hospital

  • Clinic/Center
  • Oroville, CA
  • NPI 1871697102
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1629170592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5040",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "95966",
            "telephone_number": "530-532-8584",
            "fax_number": "530-532-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 FEATHER RIVER BLVD",
            "address_2": "SUITE #10",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "98685",
            "telephone_number": "530-534-4530",
            "fax_number": "530-532-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine N Sperry, SUDRC
• Shannon Marie Spiller, PA-C
• Gregory Scott Spittle, PHARMD
• Neal Spiva
• Brian Srotananda
• Cheyenne O Stambaugh
• James Gregory Steele, FNP
• Veronique Steele, SUD COUNSELOR
• Anthony George Stefanetti
• Ricardo Steger

• Physician Assistant in Oroville, CA
• Providers in Oroville, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.

Verify at the official NPI Registry.