Thomas Wheeler Stark (NPI# 1205924008, PAC ID# 7517156631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1205924008 |
| PAC ID by PECOS | 7517156631 |
| Professional Enrollment ID | I20110105000630 |
| Full Name | Thomas Wheeler Stark |
| Organization Legal Name | THOMAS W. STARK, MD, PLLC |
| Address |
18059 Hwy 105 W 115 Montgomery TX 77356-5001 |
| Phone Number | 2815761030 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1978 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 8527214626 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450222 | CONROE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18059 Hwy 105 W 115, Montgomery, TX 77356-5001 | 2815761030 | THOMAS W. STARK, MD, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 1% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 1% |
| Organization Legal Name | THOMAS W. STARK, MD, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin S F Gutweiler | Physician Assistant | Thomas W. Stark, Md, Pllc | 18059 Hwy 105 W 115, Montgomery, TX 77356-5001 |
| Teresa L Schroder | Audiologist | Thomas W. Stark, Md, Pllc | 18059 Hwy 105 W 115, Montgomery, TX 77356-5001 |
| Street Address |
18059 HWY 105 W 115 |
| City | MONTGOMERY |
| State | TX |
| Zip | 77356-5001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin S F Gutweiler | Physician Assistant | Thomas W. Stark, Md, Pllc | 18059 Hwy 105 W 115, Montgomery, TX 77356-5001 |
| Teresa L Schroder | Audiologist | Thomas W. Stark, Md, Pllc | 18059 Hwy 105 W 115, Montgomery, TX 77356-5001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew S Simpson | Family Medicine | Tmh Physician Associates Pllc | 21105 Eva St, 100 Houston Methodist Primary Care Group, Montgomery, TX 77356-1706 |
| Shilpa Vaidya | Internal Medicine | Tmh Physician Associates Pllc | 21105 Eva St, 100 Houston Methodist Primary Care Group, Montgomery, TX 77356-1706 |
| Dawn Happe | Physical Therapy | Alan C. Thorell | 20873 Eva St C, Montgomery Physical Therapy, Montgomery, TX 77356-1975 |
| Kimberly A Zobal | Family Practice | Baylor St Lukes Medical Group | 20873 Eva St, Suite B, Montgomery, TX 77356-1975 |
| Brody Lynn Lawhon | Physical Therapy | Alan C. Thorell | 20873 Eva St C, Montgomery Physical Therapy, Montgomery, TX 77356-1975 |
| Christina Elizabeth Harkey | Physical Therapy | Alan C. Thorell | 20873 Eva St C, Montgomery Physical Therapy, Montgomery, TX 77356-1975 |
| Matthew E Soileau | Physical Therapy | Alan C. Thorell | 20873 Eva St C, Montgomery Physical Therapy, Montgomery, TX 77356-1975 |
| Alan C Thorell | Physical Therapy | Alan C. Thorell | 20873 Eva St C, Montgomery Physical Therapy, Montgomery, TX 77356-1975 |
| Sharon Leilich Hollis | Physical Therapy | Alan C. Thorell | 20873 Eva St C, Montgomery Physical Therapy, Montgomery, TX 77356-1975 |
| Ruth N Taylor | Physical Therapy | Alan C. Thorell | 20873 Eva St C, Montgomery Physical Therapy, Montgomery, TX 77356-1975 |
| Find all physicians in zip 77356 | |||
| City | MONTGOMERY |
| Zip Code | 77356 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | MONTGOMERY + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Thomas Wheeler Stark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.