DR. TRAVIS JACK STARK (NPI# 1487949384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487949384 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS JACK STARK |
| Credential | D.P.M. |
| Practice Address |
13401 N Western Ave Suite 405 Oklahoma City OK 73114-1412 |
| Practice Telephone | 4056073668 |
| Practice Fax Number | 8884943236 |
| Mailing Telephone | 4056073668 |
| Mailing Fax Number | 8884943236 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2015-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
311 | OK | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5315051097 | MI | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639618093 | Travis Stark | Pharmacist | 5224 Coldwater Canyon Ave, Van Nuys, CA 91401-6146 | 2017-02-17 |
| Street Address |
13401 N WESTERN AVE SUITE 405 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881666220 | Robert B Rogers | Physician Assistant | 13401 N Western Ave, Ste. 301, Oklahoma City, OK 73114-1408 | 2006-02-01 |
| 1407211048 | Saints Medical Group, LLC | Internal Medicine | 13401 N Western Ave, Suite 210, Oklahoma City, OK 73114-1408 | 2015-12-28 |
| 1356716435 | St Anthony Physicians Thyroid Center | Internal Medicine | 13401 N Western Ave, Suite 407, Oklahoma City, OK 73114-1408 | 2015-12-01 |
| 1568840882 | Comprehensive Foot & Ankle Institute Pllc | Podiatrist | 13401 N Western Ave, Suite 405, Oklahoma City, OK 73114-1407 | 2015-05-07 |
| 1164810677 | Saints Medical Group, LLC | Internal Medicine | 13401 N Western Ave, Suite 200, Oklahoma City, OK 73114-1407 | 2015-01-06 |
| 1902105166 | Terry Alan Rimmer | Family Medicine | 13401 N Western Ave, Suite 200, Oklahoma City, OK 73114-1408 | 2011-03-26 |
| 1073834057 | Amy Gumuliauskas | Pediatrics | 13401 N Western Ave, Suite 200, Oklahoma City, OK 73114-1408 | 2010-06-14 |
| 1760707863 | Erin Nicole Goranson | Pediatrics | 13401 N Western Ave, Suite 200, Oklahoma City, OK 73114-1407 | 2010-03-31 |
| 1679708259 | Omar Silvestre | Internal Medicine | 13401 N Western Ave, Suite 210, Oklahoma City, OK 73114-1408 | 2009-05-26 |
| 1932381365 | Amanda Lagreca | Internal Medicine | 13401 N Western Ave, Suite 407, Oklahoma City, OK 73114-1408 | 2007-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
| 1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
| 1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
| 1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
| 1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
| 1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
| 1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
| Find all providers in zip 73114 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1992110092 | Christopher Marshall Seat | Podiatrist | 5500 N Portland Ave, Oklahoma City, OK 73112 | 2014-06-26 |
| 1598181976 | Leila Mae Mckenzie Straehla | Podiatrist | 13316 S Western Ave Ste I, Oklahoma City, OK 73170-7309 | 2014-03-10 |
| 1548576960 | Red Earth Foot and Ankle Inc. | Podiatrist | 13316 South Western, Suite I, Oklahoma City, OK 73170 | 2010-08-23 |
| 1124346473 | Nicholas B Plants | Podiatrist | 9315 S. Pennsylvania Ave, Suite A, Oklahoma City, OK 73159-6913 | 2010-05-12 |
| 1891931374 | Rick Traczyk II Dpm PC | Podiatrist | 13921 N Meridian Ave Ste 203, Oklahoma City, OK 73134-1104 | 2009-01-05 |
| 1598932899 | Henry M. Asin | Podiatrist | 5401 N Portland Ave Ste 395, Oklahoma City, OK 73112-2089 | 2008-05-15 |
| 1871627315 | Dr. David C. Cavallaro, D.p.m., Inc. | Podiatrist | 7370 S Walker Ave, Oklahoma City, OK 73139-7628 | 2007-03-15 |
| 1306827894 | Peter Quoc Le | Podiatrist | 2201 N Meridian Ave, Oklahoma City, OK 73107-2629 | 2005-11-10 |
| 1982606331 | Michael K Wilson | Podiatrist | 1126 Sw 89th St, Oklahoma City, OK 73139-9104 | 2005-08-15 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
Please comment or provide details below to improve the information on DR. TRAVIS JACK 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.