DR. JOHN GREGORY STARK


Address: 825 Nicollet Mall, Suite 715, Minneapolis, MN 55402-2595
Phone: 6123322324

DR. JOHN GREGORY STARK (NPI# 1306816996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306816996
Entity Type Individual
Full Name DR. JOHN GREGORY STARK
Credential MD
Practice Address 825 Nicollet Mall
Suite 715
Minneapolis
MN 55402-2595
Mailing Address 825 Nicollet Mall
Suite 715
Minneapolis
MN 55402-2606
Practice Telephone 6123322324
Practice Fax Number 6123321019
Mailing Telephone 6123322324
Mailing Fax Number 6123321019
Enumeration Date 2006-01-25
Last Update Date 2013-06-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204C00000X Neuromusculoskeletal Medicine, Sports Medicine 23369 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN PHP/MEDICA 09-01240 01
MN 126002200 05
MN MINNESOTA MEDICAL LICENSE 23369 01
MN DEA AS8070877 01

Other Providers JOHN STARK

NPI Name Taxonomy Address Enumeration
1982244687 John Gilbert Stark Jr. Counselor 417 Arnold Ct, Kokomo, IN 46902-3702 2020-01-10
1811082753 John D Stark Dentist 2120 W 12600 S, Riverton, UT 84065-7131 2006-10-04
1922087618 John B Stark Orthopaedic Surgery One Orthopaedic Place, St. Augustine, FL 32086-4202 2006-01-11
1659704799 John Kyle Stark Dentist 1 Kneeland St, 8th Floor - Pediatric Dentistry, Boston, MA 02111-1527 2013-08-13
1962628578 John Mitchell Stark Physical Therapy Assistant 2100 Exeter Rd, Germantown, TN 38138-3922 2007-04-18
1023176799 John Daniel Stark Counselor 4110 Highway 31 South, Decatur, AL 35603 2006-12-05
1710927769 John Stark Family Medicine 161 Corporate Dr, Portsmouth, NH 03801-6825 2006-06-07

Office Location

Street Address 825 NICOLLET MALL
SUITE 715
City MINNEAPOLIS
State MN
Zip Code 55402-2595

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093718892 Dinesh K Goyal Ophthalmology 825 Nicollet Mall, Ste 2000, Minneapolis, MN 55402-2708 2005-05-24
1851836464 Denise Brown Nurse Practitioner 825 Nicollet Mall, Medical Arts Building Suite 300, Minneapolis, MN 55402-2525 2017-01-05
1881138527 Stefanie Marie Donnelly Counselor 825 Nicollet Mall, Suite 415, Minneapolis, MN 55402-2606 2016-12-15
1073063103 Minnesota Dental Professionals, P.C. Dentist 825 Nicollet Mall, Ste 425, Minneapolis, MN 55402-2606 2016-10-13
1326596032 Michael Studer Acupuncturist 825 Nicollet Mall, Suite 923, Minneapolis, MN 55402-2606 2016-09-12
1104272939 Donald Clausen Dds Ms Pa Dentist 825 Nicollet Mall, Ste 825, Minneapolis, MN 55402-2606 2016-05-11
1841656410 Cityscape Dental Pa Dentist 825 Nicollet Mall, Suite# 1921, Minneapolis, MN 55402-2606 2016-01-12
1629442538 Skin Specialists Dermatology 825 Nicollet Mall, Suite 1002, Minneapolis, MN 55402-2614 2015-11-17
1790171171 Mill City Dermatology, P.a. Clinic/Center 825 Nicollet Mall, Suite 1227, Minneapolis, MN 55402-2606 2015-04-12
1760894372 Svetlana Simovic, M.d. Psychiatry & Neurology 825 Nicollet Mall, Suite # 614, Minneapolis, MN 55402-2606 2014-05-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164040457 Colby Orthodontics LLC Dentist 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 2020-07-13
1124684725 Eric James Holthaus Dentist 825 Nicollet Ave #1025, Minneapolis, MN 55402 2019-05-20
1194216598 Sean Templeman Optometrist 825 Nicollet Mall Fl 20, Minneapolis, MN 55402 2018-05-22
1124529417 Danielle Marie Kasprzak Social Worker 825 Nicollet Mall Ste 1005, Minneapolis, MN 55402 2018-02-22
1275073181 Yellow Coriander, Psc Nurse Practitioner 60 South 6th Street, Suite 2800, Minneapolis, MN 55402 2017-02-27
1780039263 Ursula Mcguckin Dentist 825 Nicollet Avenue #1025, Minneapolis, MN 55402 2016-05-03
1265891600 Carl Mothes Counselor 825 Nicollet Mall Ste 556, Minneapolis, MN 55402 2016-02-13
1295084309 Cardiology Prevention, LLC Clinic/Center 730 Second Ave South, Suite 295, Baker Center, Minneapolis, MN 55402 2012-09-05
1629389341 Michael Stephen Bevan Podiatrist 825 Nicollet Mall Ste 517, Minneapolis, MN 55402 2010-06-28
1235368226 Anna Dickens Nurse Practitioner 902 2nd Ave S, Ste 400, Minneapolis, MN 55402 2009-07-10
Find all providers in zip 55402

Taxonomy Information

Taxonomy Code 204C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine, Sports Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891841128 Chiromed Clinic, P.a. Neuromusculoskeletal Medicine, Sports Medicine 5355 Penn Ave S, Minneapolis, MN 55419-1056 2007-01-27
1629193446 Metropolitan Internists, Pa Neuromusculoskeletal Medicine, Sports Medicine 825 S 8th St, Suite #600 Parkside Prof Bldg, Minneapolis, MN 55404-1208 2007-03-20
1528163581 James Herbert House Neuromusculoskeletal Medicine, Sports Medicine 1 Veterans Dr, Minneapolis, MN 55417-2309 2006-09-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457963191 Tressa Dee Weeden-bootz Neuromusculoskeletal Medicine, Sports Medicine 8071 Curtis Ln, Eden Prairie, MN 55347-1110 2020-08-22
1639121460 James Edmund Call Jr. Neuromusculoskeletal Medicine, Sports Medicine 22015 State Highway 6, Deerwood, MN 56444-6278 2006-05-17
1164410270 Robert A Morgan Neuromusculoskeletal Medicine, Sports Medicine 640 Jackson St - Mc 11503l, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 2005-10-12
1679560213 Matthew A. Raml Neuromusculoskeletal Medicine, Sports Medicine 1500 Irving St, Alexandria, MN 56308-2515 2005-09-29
1184148017 Andrew Jacob Olson Neuromusculoskeletal Medicine, Sports Medicine 8100 Northland Dr, Bloomington, MN 55431-4800 2017-08-02
1528389244 Nicolas N Madigan Neuromusculoskeletal Medicine, Sports Medicine 200 1st St Sw, Rochester, MN 55905-0001 2010-06-16
1275671711 David Benjamin Ketroser Neuromusculoskeletal Medicine, Sports Medicine 2000 Plymouth Rd, Suite 110, Minnetonka, MN 55305-2366 2007-02-04
1194751552 Sports and Orthopaedic Specialists, Pa Neuromusculoskeletal Medicine, Sports Medicine 8100 W 78th St, Suite 225, Edina, MN 55439-2516 2006-06-25
1013970144 James Richard Larson Neuromusculoskeletal Medicine, Sports Medicine 8100 W 78th St, Suite 225, Edina, MN 55439-2516 2006-04-10
1518931799 Julie A Switzer Neuromusculoskeletal Medicine, Sports Medicine 435 Phalen Blvd - Ms 51103h, Healthpartners Specialty Center 435, St. Paul, MN 55130-5302 2006-02-15
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Competitor

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City MINNEAPOLIS
Zip Code 55402

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Dataset Information

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.

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