ANN STARK (NPI# 1073693412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073693412 |
| Entity Type | Individual |
| Full Name | ANN STARK |
| Credential | MD |
| Practice Address |
330 Brookline Ave # Rose3 Boston MA 02215 |
| Mailing Address |
3601 Tvc Nashville TN 37232-0001 |
| Practice Telephone | 6176673276 |
| Practice Fax Number | 6176677040 |
| Mailing Telephone | 6153223000 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD47955 | TN | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
L8964 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 164973301 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083007959 | Ann Marie Stark | Counselor | 770 Lynnhaven Pkwy, Suite 240, Virginia Beach, VA 23452-7324 | 2015-03-16 |
| Street Address |
330 BROOKLINE AVE # ROSE3 |
| City | BOSTON |
| State | MA |
| Zip Code | 02215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972820397 | Emily Diane Whitesel | Pediatrics | 330 Brookline Ave # Rose3, Boston, MA 02215-5400 | 2010-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811371123 | Neha Chaudhary | Pediatrics | 330 Brookline Ave # Rose313, Boston, MA 02215-5400 | 2015-07-16 |
| 1578950770 | Lauren Frazer | Pediatrics | 300 Longwood Ave # Enders9, Boston, MA 02115 | 2015-04-25 |
| 1821312893 | Ruggero Spadafora | Pediatrics | 912 Beacon St, Boston, MA 02215-3016 | 2010-03-19 |
| 1902003544 | Sonal Saxena Patel | Pediatrics | 660 Washington St, Apt 7h, Boston, MA 02111-3200 | 2007-06-28 |
| 1063432482 | Silvia Patrizi | Pediatrics | New England Medical Center, 750 Washington St, Newborn Med, Boston, MA 02111 | 2006-07-20 |
| 1588693667 | Sadath A. Sayeed | Pediatrics | 651 Huntington Ave, 6th Floor, Fxb, Division of Medical Ethics, Boston, MA 02115-6009 | 2006-07-01 |
| 1639116817 | Jane E Stewart | Pediatrics | 330 Brookline Street, Beth Israel Hosp/neonat, Boston, MA 02215 | 2006-05-31 |
| 1720062409 | Wanda Denise Barfield | Pediatrics | 850 Harrison Ave # Yacc6, Boston, MA 02118-4001 | 2005-12-06 |
| 1972584654 | Mayya Geha | Pediatrics | 55 Fruit Street, Fnd 530, Massachusetts General Hospital, Boston, MA 02114-2621 | 2005-11-09 |
| 1164419586 | Alan Minora Fujii | Pediatrics | 840 Harrison Ave, Menino 3, Boston, MA 02118-2905 | 2005-09-30 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.