Dr. Robert D Stacks , MD
Pediatrics • Jamaica Plain, MA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Stacks has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Robert Stacks, MD was a registered Pediatrics practicing in Jamaica Plain, MA. Throughout an active medical career spanning 16 years, Dr. Stacks provided care at the practice location at 1153 CENTRE ST until profile deactivation on 2022-04-20.
Practice Location & Contact Primary Location
1153 Centre St
Suite 31
Jamaica Plain, MA 021303446
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Jamaica Plain, MA
Practicing in Jamaica Plain, MA (2760 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Social Worker - Clinical
Licensed Independent Clinical Social Worker
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Nurse Practitioner - Pediatrics
Certified Pediatric Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 20, 2022
NPI status registered as active in NPPES database
Registered at 1153 CENTRE ST, SUITE 31, JAMAICA PLAIN, MA 021303446 (Tel: 6175223100)
Registered at 1153 CENTRE ST, SUITE 31, BOSTON, MA 021303446 (Tel: 6175223100)
Recorded as ROBERT STACKS, M.D.
Pediatrics (License #29672 in MA)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
1153 Centre St, Suite 31
Boston, MA 021303446
Phone: 6175223100
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