JULIE STARK (NPI# 1902018641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902018641 |
| Entity Type | Individual |
| Full Name | JULIE STARK |
| Credential | MD |
| Practice Address |
3475 So Alpine Rd Physicians Immediate Care Rockford IL 61109-2604 |
| Mailing Address |
6920 Pointe Inverness Way Ste 200 Fort Wayne IN 46804-7934 |
| Practice Telephone | 8158748000 |
| Practice Fax Number | 8158747525 |
| Mailing Telephone | 2604793516 |
| Mailing Fax Number | 2604793520 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01073161A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036121864 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201190690 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7333 W Jefferson Blvd, Fort Wayne, IN 46804 | 2604583830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033634423 | Julie Ann Stark | Registered Nurse | 3510 Wakefield Dr, Bryan, TX 77808-1430 | 2017-08-07 |
| 1154580637 | Julie Ann Stark | Specialist | 110 South Alder Ave, Granite Falls, WA 98252 | 2008-06-09 |
| 1851761217 | Julie Stark | Physician Assistant | 1215 E. Michigan Ave., 7th Fl Tower West, Lansing, MI 48912 | 2015-09-29 |
| 1790164812 | Julie L. Stark | Social Worker | 111 Nesconset Hwy, Suite 108, Smithtown, NY 11788-2524 | 2015-05-21 |
| 1740696053 | Julie Stark | Specialist | 3399 Winton Rd S, Rochester, NY 14623-3057 | 2014-07-08 |
| 1043576770 | Julie Elizabeth Stark | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-3026 | 2012-04-06 |
| 1467638452 | Julie Marie Stark | Pharmacist | 100 Main St, C/o Cvs Pharmacy, Cooperstown, NY 13326-1225 | 2008-01-21 |
| 1689718017 | Julie Rachel Stark | Family Medicine | 2125 E Thousand Oaks Blvd, Suite A, Thousand Oaks, CA 91362-2942 | 2007-02-18 |
| Street Address |
3475 SO ALPINE RD PHYSICIANS IMMEDIATE CARE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61109-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487164398 | Linda A Morel | Speech-Language Pathologist | 6129 Valley Knoll Drive, Rockford, IL 61109 | 2017-10-05 |
| 1841720315 | Activate Healthcare - Local 23 Clinic | Clinic/Center | 3413 Colony Bay, Rockford, IL 61109 | 2017-06-15 |
| 1255430062 | Suzanne E. Wang | Nurse Practitioner | 4940 East State Street, Rockford Veterans Administration Out Patient Clinic, Rockford, IL 61109 | 2006-09-21 |
| 1073597498 | Peter Joseph Gunther | Optometrist | 2995 Eastrock Dr, Rockford, IL 61109 | 2005-11-30 |
| 1104482769 | Catherine L Hill | Nurse's Aide | 2831 Bildahl St, Rockford, IL 61109-1136 | 2019-05-18 |
| 1962671701 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 3522 Green Dale Dr, Rockford, IL 61109-1575 | 2008-02-26 |
| 1326174665 | Lloyd Hearing Aid Corp | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2007-02-23 |
| 1710965439 | Gary Michael Briden | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-01-03 |
| 1386092625 | Andrew Palmquist | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2016-05-26 |
| 1851324289 | Reginald Dinan Quart | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-07-09 |
| Find all providers in zip 61109 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851910350 | Charity L Soles | Family Medicine | 4134 Ashwinton Way, Rockford, IL 61109-3273 | 2020-04-14 |
| 1306250543 | Camille Ryan | Family Medicine | 6050 Northland Dr Ne Ste 200, Rockford, MI 49341-9257 | 2014-06-16 |
| 1396991485 | Novella Ann Schafer | Family Medicine | 3719 Regal Ridge Circle, Rockford, IL 61114-6037 | 2008-08-08 |
| 1417139130 | Derek Lanier | Family Medicine | 8450 Brower Lake Rd Ne, Apt/suite, Rockford, MI 49341-9346 | 2007-12-04 |
| 1144414921 | Moses Godofredo Tomacruz | Family Medicine | 1502 Parkview Ave, Rockford, IL 61107-1821 | 2007-09-05 |
| 1508077165 | Robert Dejonge Do PC | Family Medicine | 350 Northland Dr Ne, Rockford, MI 49341-1401 | 2007-05-25 |
| 1205976024 | Mohammed Khaleeluddin | Family Medicine | 1729 Oak Park Drive, Rockford, IL 61107-5510 | 2007-02-08 |
| 1134273238 | Swedishamerican Hosptial | Family Medicine | 3906 N Main St, Suite A, Rockford, IL 61103-1679 | 2007-01-23 |
| 1194897223 | Niccole Ranz | Family Medicine | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2006-11-14 |
| 1881799492 | Rebecca Wolfe | Family Medicine | 6050 Northland Dr Ne, Ste 200, Rockford, MI 49341-9256 | 2006-09-14 |
| Find all providers in ROCKFORD | ||||
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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.