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Active NPI 1487694535 Individual Practitioner Male Practitioner

Dr. Gary Stack , MD

Urology • Everett, WA

Professional Overview & Biography Verified Profile Summary

Dr. Gary Stack, MD is a registered healthcare professional specializing in Urology in Everett, WA. Practice services are available at 4310 COLBY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4310 Colby Ave
Suite 203

Everett, WA 982032338

Telephone 4252528102
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Everett, WA (351 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WA MD00012487

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1067305 (WA)
Commercial Insurance / Payer ID Labor And Industry
0050032 (WA)
Commercial Insurance / Payer ID State License Number
MD00012487 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1326278458

Doctor of Medicine (M.D.)

NPI 1407888910

Doctor of Medicine (M.D.)

NPI 1912954744

Doctor of Medicine (M.D.)

Heather West , PA-C

Physician Assistant

NPI 1972326809

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2008

Registered at 4310 COLBY AVE, SUITE 203, EVERETT, WA 982032338 (Tel: 4252528102)

📍
Updated Business Mailing Address January 12, 2008

Registered at 4310 COLBY AVE, SUITE 203, EVERETT, WA 982032338 (Tel: 4252528102)

👤
Provider Name / Credentials Updated January 12, 2008

Recorded as GARY STACK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2008

Urology (License #MD00012487 in WA)

🟢
Initial NPI Registration & Enumeration June 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487694535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2006
Last Update: January 12, 2008
Sole Proprietor: No

Mailing Address

4310 Colby Ave, Suite 203

Everett, WA 982032338

Phone: 4252528102

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.