DR. MICHAEL DILLARD STARK (NPI# 1316101710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316101710 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DILLARD STARK |
| Credential | MD |
| Practice Address |
2400 17th St Columbus IN 47201-5351 |
| Mailing Address |
411 Plaza Dr Suite H Columbus IN 47201-2916 |
| Practice Telephone | 8123765811 |
| Practice Fax Number | 8123765928 |
| Mailing Telephone | 8123733025 |
| Mailing Fax Number | 8123760678 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2016-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
11013994A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200955430 | 05 | |
| IN | ANTHEM PIN | 000000983427 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558582304 | Michael A Stark | Internal Medicine | 1808 Verdugo Blvd., Suite 313, Glendale, CA 91208-1463 | 2007-05-01 |
| 1679579577 | Michael Lee Stark | Ophthalmology | 1118 Fairington Dr, Sidney, OH 45365-8913 | 2005-06-24 |
| 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 |
| 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 |
2400 17TH ST |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201-5351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629072517 | Robert Neil Elliott | Internal Medicine | 2400 17th St, Columbus, IN 47201 | 2005-06-08 |
| 1598377467 | Kevin Zachary Kniery | Pharmacist | 2400 17th St, Columbus, IN 47201-5351 | 2020-08-20 |
| 1568094688 | Andrea Kay Valentine | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2020-02-06 |
| 1629624721 | Kelsey Marie Finch | Pharmacist | 2400 17th St, Columbus, IN 47201-5351 | 2019-08-14 |
| 1477108660 | Natalie Ann Green | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2019-08-05 |
| 1023582434 | Sandra Anne Kuniewicz | Dietitian, Registered | 2400 17th St, Columbus, IN 47201-5351 | 2019-01-18 |
| 1548732530 | Janie Thompson | Nurse Practitioner | 2400 17th St, Columbus, IN 47201 | 2019-01-02 |
| 1114405438 | Nathan Roberts | Physician Assistant | 2400 17th St, Columbus, IN 47201-5351 | 2018-07-30 |
| 1508389743 | Jordan R Thompson | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2017-07-19 |
| 1285156893 | Chelsea Ann Spartz | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2017-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| Find all providers in zip 47201 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811558802 | K & V Enterprise, Inc | Psychiatry & Neurology | 190 Battery Heights Dr, Columbus, MS 39705-0338 | 2019-06-21 |
| 1487180733 | Restoring Mental Wellness, LLC | Psychiatry & Neurology | 1985 Henderson Rd, #136, Columbus, OH 43220-2401 | 2017-05-05 |
| 1841672979 | Ashlee Anne Senay | Psychiatry & Neurology | 1670 Upham Dr Ste 130, Columbus, OH 43210 | 2015-06-25 |
| 1194129544 | Psychiatric Services At Brookstone, PC | Psychiatry & Neurology | 2263 Brookstone Centre Pkwy Ste C, Columbus, GA 31904-4650 | 2014-10-14 |
| 1174933303 | Kento Akasaka | Psychiatry & Neurology | 555 So 18th Street, Occ Suite 6a, Columbus, OH 43205 | 2014-04-28 |
| 1477992162 | Daniel Tetirick | Psychiatry & Neurology | 100 Northmoor Pl, Columbus, OH 43214-3610 | 2013-06-17 |
| 1164865069 | Alan James Szymanski | Psychiatry & Neurology | 3525 Olentangy River Rd Ste 5380, Columbus, OH 43214-3937 | 2013-04-10 |
| 1811244833 | Columbus Addiction and Psychiatric Services LLC | Psychiatry & Neurology | 4449 Easton Way Ste 200, Columbus, OH 43219-6093 | 2012-08-08 |
| 1538431812 | Ronald Litvak | Psychiatry & Neurology | 1195 Circle On The Green, Columbus, OH 43235-1208 | 2012-02-02 |
| 1952686537 | Deepa Ujwal | Psychiatry & Neurology | 4725 Parkwick Dr, Suite 100, Columbus, OH 43228-6401 | 2011-10-14 |
| Find all providers in COLUMBUS | ||||
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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.