DR. MICHAEL STARK (NPI# 1104239086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104239086 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL STARK |
| Credential | M.D. |
| Practice Address |
8901 Wisconsin Ave General Medical Education Bethesda MD 20889-5600 |
| Practice Telephone | 3012959283 |
| Mailing Telephone | 3012959283 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558582304 | Michael A Stark | Internal Medicine | 1808 Verdugo Blvd., Suite 313, Glendale, CA 91208-1463 | 2007-05-01 |
| 1679579577 | Michael Lee Stark | Ophthalmology | 1118 Fairington Dr, Sidney, OH 45365-8913 | 2005-06-24 |
| 1861984114 | Michael Stark | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | 2018-06-02 |
| 1225452840 | Michael Alan Stark | Pharmacist | 888 Eastgate North Dr, Cincinnati, OH 45245-1588 | 2014-02-18 |
| 1366864712 | Michael Stark | Pharmacist | 3911 W State Route 22 3, Loveland, OH 45140-7395 | 2014-01-19 |
| 1144554213 | Michael D Stark | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-09-23 |
| 1316101710 | Michael Dillard Stark | Psychiatry & Neurology | 2400 17th St, Columbus, IN 47201-5351 | 2008-07-15 |
| 1245493113 | Michael J Stark | Counselor | 3340 Kemper St, Suite 105, San Diego, CA 92110-4906 | 2008-07-09 |
| 1780753921 | Michael I Stark | Psychologist | 88 University Pl, #4b, New York, NY 10003-4513 | 2006-11-06 |
| 1649260779 | Michael C Stark | Family Medicine | 325 Butts Ave, Tomah, WI 54660-1412 | 2005-10-28 |
| Street Address |
8901 WISCONSIN AVE GENERAL MEDICAL EDUCATION |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710246 | Rosemary Grace Carr-malone | Psychiatry & Neurology | 8901 Wisconsin Ave, Bethesda, MD 20889-5600 | 2005-06-15 |
| 1861017212 | Luke White | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-06-11 |
| 1538782545 | Alexander Pastino | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-26 |
| 1104449362 | Justin James De Vera | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-22 |
| 1881217180 | Reece Mckenzie | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-20 |
| 1073135695 | Alex Kim | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-18 |
| 1619599354 | Jacob Mickey Wyse | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-16 |
| 1770105413 | Anna M Russell | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-16 |
| 1699397364 | Jessica Nicole Clark | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-15 |
| 1558983296 | Mason Cleary Ditthardt Fortuno | Military Health Care Provider | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
| Find all providers in zip 20889 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473273 | Nadia Nasir | Student in an Organized Health Care Education/Training Program | 4710 Bethesda Ave Apt 1512, Bethesda, MD 20814-5226 | 2020-09-28 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1184234478 | Xueting Jin | Student in an Organized Health Care Education/Training Program | Bg 10 Rm 3n248 Msc 1500 10 Center Dr, Bethesda, MD 20892-0001 | 2020-08-03 |
| 1538783147 | Michael D Sisler | Student in an Organized Health Care Education/Training Program | Acgme Program 1801021144 8901 Wisconsin Ave, Bethesda, MD 20889-4759 | 2020-05-31 |
| 1477176741 | Scott Hoener | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue Dept of Behavioral Health, Bethesda, MD 20889-0001 | 2020-05-21 |
| 1477175198 | Marissa Anne Manning | Student in an Organized Health Care Education/Training Program | 4494 Palmer Rd, Bethesda, MD 20889-0001 | 2020-05-15 |
| 1134741457 | Kathleen Elizabeth Bathon | Student in an Organized Health Care Education/Training Program | 4954 North Palmer Road, Internal Medicine Department, American Building 19, Bethesda, MD 20889-5600 | 2020-05-08 |
| 1477172195 | Sidney Elliot Zven | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Iave, Bethesda, MD 20889-0001 | 2020-04-13 |
| 1497374441 | Rebecca Lee | Student in an Organized Health Care Education/Training Program | 4494 North Palmer Road Anesthesiology Department, Bethesda, MD 20889-0001 | 2020-04-09 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| Find all providers in BETHESDA | ||||
Please comment or provide details below to improve the information on DR. MICHAEL STARK.
| 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.