DR. JOHN B STARK (NPI# 1922087618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922087618 |
| Entity Type | Individual |
| Full Name | DR. JOHN B STARK |
| Credential | MD |
| Practice Address |
One Orthopaedic Place St. Augustine FL 32086-4202 |
| Mailing Address |
316 View Point Pl St Augustine FL 32080-6151 |
| Practice Telephone | 9048250540 |
| Practice Fax Number | 9042091055 |
| Mailing Telephone | 9048250540 |
| Mailing Fax Number | 9042091055 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2019-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME96534 | FL | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
ME96534 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036112556 | 05 | |
| FL | DMERC CIGNA GOUT SVCS | 1174540001 | 01 |
| FL | DMERC | 1174540001 | 01 |
| 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 |
| 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 |
| 1306816996 | John Gregory Stark | Neuromusculoskeletal Medicine, Sports Medicine | 825 Nicollet Mall, Suite 715, Minneapolis, MN 55402-2595 | 2006-01-25 |
| Street Address |
ONE ORTHOPAEDIC PLACE |
| City | ST. AUGUSTINE |
| State | FL |
| Zip Code | 32086-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164491874 | Outpatient Surgery Center of St Augustine LLC | Clinic/Center | One Orthopaedic Place, Suite 200, St. Augustine, FL 32086 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467943787 | Center for Bone & Joint Surgery of The Palm Beaches, P.a. | Orthopaedic Surgery | 582 Nw University Blvd Ste 100, Port St Lucie, FL 34986-2264 | 2018-05-22 |
| 1851630057 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 4551-a North Davis Hwy, Pensacola, FL 32503-2782 | 2013-02-07 |
| 1376808188 | Sonya Khurana | Orthopaedic Surgery | 1150 Campo Sano Ave Fl 1, Coral Gables, FL 33146-1174 | 2012-07-08 |
| 1962766576 | Sarasota Orthopedic Associates, LLC | Orthopaedic Surgery | 6230 University Pkwy, Suite 203, Lakewood Ranch, FL 34240-8604 | 2012-06-28 |
| 1194091488 | Giacomo Luis Cappelleti | Orthopaedic Surgery | 8905 Sw 87th Ave Ste 100, Miami, FL 33176-2210 | 2012-03-30 |
| 1053681791 | Kathryn Anne Henderson Heim | Orthopaedic Surgery | 2850 N Federal Hwy, 2nd Floor, Lighthouse Point, FL 33064 | 2012-01-11 |
| 1720378144 | Orthopaedic Associates Usa, Pa | Orthopaedic Surgery | 4765 Sw 148th Avenue, Suite 401, Davie, FL 33330-2128 | 2011-04-19 |
| 1861781239 | Karan A Desai | Orthopaedic Surgery | 17000 Porter Rd Ste 205, Winter Garden, FL 34787-8915 | 2011-04-06 |
| 1598085961 | Ajul Shah | Orthopaedic Surgery | 603 7th St S Ste 440, Saint Petersburg, FL 33701 | 2010-06-08 |
| 1538484985 | The Ouellette Group Physicians for The Hand, P.l. | Orthopaedic Surgery | 7445 Sw 127th St, Miami, FL 33156-5337 | 2010-03-29 |
| Find all providers with the same taxonomy | ||||
| City | ST. AUGUSTINE |
| Zip Code | 32086 |
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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.