STEPHEN H STARK (NPI# 1912981119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912981119 |
| Entity Type | Individual |
| Full Name | STEPHEN H STARK |
| Credential | MD |
| Practice Address |
308 W Highland Blvd Inverness FL 34452-4716 |
| Practice Telephone | 3527268353 |
| Practice Fax Number | 3527265038 |
| Mailing Telephone | 3527268353 |
| Mailing Fax Number | 3527265038 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2009-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME30869 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME30869 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CAQH | 10721764 | 01 |
| FL | BCBS | 30064 | 01 |
| FL | STATE LICENSE NUMBER | ME30869 | 01 |
| FL | CIGNA | 2569084 | 01 |
| FL | 056651900 | 05 | |
| FL | MEDICAID GROUP | 269859500 | 01 |
| FL | MEDICARE GROUP ID | 77940 | 01 |
| BCBS GRP | 77940 | 01 | |
| FL | MEDICARE RR | P00144401 | 01 |
| FL | MEDICARE RR GROUP | CF1416 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932140027 | Stephen Stark | Specialist | 500 University Ave Ste 104, Sacramento, CA 95825-6504 | 2006-06-09 |
| Street Address |
308 W HIGHLAND BLVD |
| City | INVERNESS |
| State | FL |
| Zip Code | 34452-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104809607 | Luis A Delfin | Internal Medicine | 308 W Highland Blvd, Inverness, FL 34452-4716 | 2005-11-29 |
| 1861093197 | Hoda Agrama | Physician Assistant | 308 W Highland Blvd, Inverness, FL 34452-4716 | 2020-11-03 |
| 1083215529 | Gabriel John Dascanio | Physician Assistant | 308 W Highland Blvd, Inverness, FL 34452-4716 | 2020-11-02 |
| 1891392502 | Makenzie Gordon | Physician Assistant | 308 W Highland Blvd, Inverness, FL 34452-4716 | 2020-10-06 |
| 1093322661 | Claudette Elizabeth Jones | Physician Assistant | 308 W Highland Blvd, Inverness, FL 34452-4716 | 2020-09-28 |
| 1841813300 | Daniel Patrick Marinelli | Nurse Practitioner | 308 W Highland Blvd, Inverness, FL 34452-4716 | 2020-05-19 |
| 1457901530 | Tyler Jeffrey Mize | Physician Assistant | 308 W Highland Blvd, Inverness, FL 34452-4716 | 2019-09-19 |
| 1013492156 | Kendra Ann Yerrington | Physician Assistant | 308 W Highland Blvd, Inverness, FL 34452-4716 | 2018-09-25 |
| 1831697812 | Kristy L Belcher | Nurse Practitioner | 308 W Highland Blvd, Inverness, FL 34452-4716 | 2018-01-25 |
| 1952542375 | Hari Cp Kannam | Internal Medicine | 308 W Highland Blvd, Inverness, FL 34452-4716 | 2009-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680204 | Medical Risk Solutions LLC | Family Medicine | 216-c South Apopka Ave., Inverness, FL 34452 | 2020-05-15 |
| 1801354204 | Mari Parker | Nurse Practitioner | 520 W Highland Blvd, Inverness, FL 34452 | 2019-03-05 |
| 1346737061 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 211 South Seminole Ave, Inverness, FL 34452 | 2018-04-18 |
| 1548779846 | Alexandra Weinmann | Behavior Technician | 6765 E Kingsbury Lane, Inverness, FL 34452 | 2017-09-29 |
| 1821536913 | Mechelle Louise Lewis | Nurse Practitioner | 212 S. Pine Avenue, Inverness, FL 34452 | 2017-02-08 |
| 1639615131 | Elizabeth Lynch | Behavioral Analyst | 609 Goodyear Ave, Inverness, FL 34452 | 2017-01-09 |
| 1942511100 | Families Come First, LLC | In Home Supportive Care | 220 S Pine Ave, Invenress, FL 34452 | 2010-06-23 |
| 1639342470 | Assisted Living Concepts Inc | Assisted Living Facility | 700 Medical Court East, Inverness, FL 34452 | 2008-04-11 |
| 1063684686 | Winn-dixie Stores, Inc. | Durable Medical Equipment & Medical Supplies | 333 Highland Ave Space 600, Inverness, FL 34452 | 2008-03-25 |
| 1831372606 | Gira S. Shah, Md, Pa | Internal Medicine | 203 S. Seminole Ave, Inverness, FL 34452 | 2007-12-14 |
| Find all providers in zip 34452 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952542375 | Hari Cp Kannam | Internal Medicine | 308 W Highland Blvd, Inverness, FL 34452-4716 | 2009-03-14 |
| 1659531937 | Abel Rivero | Internal Medicine | 308 W Highland Blvd, Inverness, FL 34452-4716 | 2008-06-11 |
| 1811175391 | Bernard Topi | Internal Medicine | 308 W Highland Blvd, Inverness, FL 34452-4716 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861004277 | Steve Malosky Md LLC | Internal Medicine | 900 Sw Saint Lucie Cres, Stuart, FL 34994-2842 | 2020-08-18 |
| 1881212744 | North Broward Hospital District | Internal Medicine | 817 S University Dr Ste 104, Plantation, FL 33324-3345 | 2020-07-08 |
| 1821612821 | Satish Sivasankaran Md Pa | Internal Medicine | 5340 Gulf Dr Ste 101, New Port Richey, FL 34652-3922 | 2020-06-04 |
| 1699317933 | Abid A Shah Md LLC | Internal Medicine | 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 | 2019-10-08 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1205329620 | Central Florida Cardiovascular Imaging Center, LLC | Internal Medicine | 1717 Mayo Dr, Tavares, FL 32778-4307 | 2018-06-11 |
| 1568953511 | Orlando Lopez-fernandez Jr. | Internal Medicine | 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 | 2018-05-25 |
| 1467959668 | Cardiology Practice Pa | Internal Medicine | 5051 Ashington Landing Dr, Tampa, FL 33647-3515 | 2018-04-12 |
| 1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
| 1114425477 | Cardiac Cin of Miami LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 | 2018-01-31 |
| 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.