MICHAEL LEE STARK (NPI# 1679579577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679579577 |
| Entity Type | Individual |
| Full Name | MICHAEL LEE STARK |
| Credential | DO |
| Practice Address |
1118 Fairington Dr Sidney OH 45365-8913 |
| Mailing Address |
4445 Lake Forest Dr Ste 600 Blue Ash OH 45242-3744 |
| Practice Telephone | 9374923755 |
| Practice Fax Number | 9374921132 |
| Mailing Telephone | 5135693741 |
| Mailing Fax Number | 9374921132 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 3380 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0533462 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558582304 | Michael A Stark | Internal Medicine | 1808 Verdugo Blvd., Suite 313, Glendale, CA 91208-1463 | 2007-05-01 |
| 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 |
| 1104239086 | Michael Stark | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, General Medical Education, Bethesda, MD 20889-5600 | 2014-06-09 |
| 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 |
1118 FAIRINGTON DR |
| City | SIDNEY |
| State | OH |
| Zip Code | 45365-8913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190001 | R&p Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1118 Fairington Dr, Sidney, OH 45365-8913 | 2018-10-18 |
| 1033145180 | Valley Eye Institute Inc | Ophthalmology | 1118 Fairington Dr, Sidney, OH 45365-8913 | 2006-06-23 |
| 1336197359 | James F Hemesath | Nurse Anesthetist, Certified Registered | 1118 Fairington Dr, Sidney, OH 45365-8913 | 2006-05-04 |
| 1598723405 | Abh Anesthesia Inc | Nurse Anesthetist, Certified Registered | 1118 Fairington Dr, Sidney, OH 45365-8913 | 2006-05-02 |
| 1659377554 | Jeffrey M Ward | Optometrist | 1118 Fairington Dr, Sidney, OH 45365-8913 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750881660 | Mary Jean Carpenter | Social Worker | 2338 Aldrin Dr, Sidney, OH 45365 | 2018-02-16 |
| 1568979045 | Healthstat Onsiet Clinic Nk Parts | Preventive Medicine | 800 S Kuther Rd, Sidney, OH 45365 | 2018-01-05 |
| 1225565427 | Courtney Lynn Spearman | Speech-Language Pathologist | 1152 St. Marys Avenue, Sidney, OH 45365 | 2017-05-18 |
| 1710381439 | Tammy Bridenbaugh | Nursing Care | 1028 N. Broadway, Sidney, OH 45365 | 2014-10-09 |
| 1568897346 | Rachelle Kistner | Counselor | 1065 Fairington Dr, Sidney, OH 45365 | 2013-09-11 |
| 1073955670 | Orthopaedic Institute of Ohio, Inc. | Durable Medical Equipment & Medical Supplies | Wilson Health Michigan Medical Building B, 915 West Michigan Street, Sidney, OH 45365 | 2013-07-24 |
| 1023350394 | Honey Gem Drinnen | Licensed Practical Nurse | 416 Ironwood Drive, Sidney, OH 45365 | 2013-03-25 |
| 1376853325 | Jamey Leigh Hepner | Nurse Practitioner | 1101 N Vandemark Rd, Sidney, OH 45365 | 2010-10-08 |
| 1578701850 | Fairlawn Local Schools | Local Education Agency (LEA) | 18000 Johnston Rd, Sidney, OH 45365 | 2009-01-26 |
| 1730345398 | Angela Castle | Counselor | 1101 N Vandermark Rd., Sidney, OH 45365 | 2008-08-04 |
| Find all providers in zip 45365 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720235 | John Joseph Wilding | Ophthalmology | 915 Michigan St, Sidney, OH 45365-2401 | 2005-06-16 |
| 1992858450 | Eye Care & Surgery Assoc., Inc. | Ophthalmology | 915 Michigan St, Wilson Medical Building Ste 101, Sidney, OH 45365-2401 | 2007-01-19 |
| 1275616104 | Brett Russell Bennion | Ophthalmology | 214 14th Ave Sw, Suite 101, Sidney, MT 59270 | 2006-10-23 |
| 1033145180 | Valley Eye Institute Inc | Ophthalmology | 1118 Fairington Dr, Sidney, OH 45365-8913 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142182 | Tri-state Centers for Sight Inc | Ophthalmology | 8270 Pine Rd, Cincinnati, OH 45236-1900 | 2020-10-22 |
| 1952913311 | Dayton Glaucoma and Cataract Consultants Inc | Ophthalmology | 1222 S Patterson Blvd Ste 300, Dayton, OH 45402-2643 | 2020-08-18 |
| 1497365449 | Victor M Bello Md, LLC | Ophthalmology | 3169 Park East Drive, Suite 306, Parkway Medical Building South, Beachwood, OH 44122-4132 | 2020-08-05 |
| 1922660620 | The Cincinnati Eye Institute Foundation | Ophthalmology | 1574 Claretta Dr, Cincinnati, OH 45231-5405 | 2019-07-02 |
| 1154834562 | Fountain Anti-aging | Ophthalmology | 892 Beach Rd, Lakewood, OH 44107-1018 | 2017-11-07 |
| 1063865863 | Claudine Bellerive | Ophthalmology | Cole Eye Institute 9500 Euclid Avenue I 13, Cleveland, OH 44195-0001 | 2016-07-15 |
| 1396193009 | Arif Omar Khan | Ophthalmology | Ophthalmology Cole Eye Institute I30, 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-06-03 |
| 1053768374 | Kevin Halenda | Ophthalmology | Cleveland Clinic Cole Eye Institute 9500 Euclid Ave I30, Cleveland, OH 44195-2536 | 2016-05-17 |
| 1316301765 | Joseph Ling | Ophthalmology | 7001 S Edgerton Rd Ste B, Brecksville, OH 44141-4206 | 2016-04-12 |
| 1568825222 | Matthew Phillip Nicholas | Ophthalmology | 9500 Euclid Ave # I30, Cleveland, OH 44195-4201 | 2016-03-31 |
| Find all providers with the same taxonomy | ||||
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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.