ELI R STARK (NPI# 1386294080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386294080 |
| Entity Type | Individual |
| Full Name | ELI R STARK |
| Credential | AGNP |
| Practice Address |
230 Maple St Ste 1 Holyoke MA 01040-5140 |
| Practice Telephone | 4134202200 |
| Mailing Telephone | 4134202200 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN2326760 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
230 MAPLE ST STE 1 |
| City | HOLYOKE |
| State | MA |
| Zip Code | 01040-5140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609809508 | Carol J. Patterson | Internal Medicine | 230 Maple St Ste 1, Holyoke, MA 01040-5140 | 2006-07-07 |
| 1639783871 | Maxime Langlois | Pharmacist | 230 Maple St Ste 1, Holyoke, MA 01040-5140 | 2020-09-04 |
| 1316565526 | Isabel Hirsch | Nurse Practitioner | 230 Maple St Ste 1, Holyoke, MA 01040-5140 | 2020-07-14 |
| 1275163057 | Jessica Nicole Baker | Nurse Practitioner | 230 Maple St Ste 1, Holyoke, MA 01040-5140 | 2020-01-22 |
| 1487209748 | Nour Sameer Saddouq I | Dentist | 230 Maple St Ste 1, Holyoke, MA 01040-5140 | 2019-08-05 |
| 1942852868 | Lela Nelson-parola | Registered Nurse | 230 Maple St Ste 1, Holyoke, MA 01040-5140 | 2019-07-11 |
| 1144782582 | April Menard | Registered Nurse | 230 Maple St Ste 1, Holyoke, MA 01040-5140 | 2019-04-04 |
| 1013479450 | Elizabeth Poku | Registered Nurse | 230 Maple St Ste 1, Holyoke, MA 01040-5140 | 2019-04-04 |
| 1508320532 | Raghavendra Sumanth Phani Challa | Dentist | 230 Maple St Ste 1, Holyoke, MA 01040-5140 | 2019-01-23 |
| 1346625274 | Maria A Barciona Guzman | Internal Medicine | 230 Maple St Ste 1, Holyoke, MA 01040-5140 | 2015-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1225646904 | Jasmine Glover | Counselor | 476 Appleton St. Suite 5, Holyoke, MA 01040 | 2020-07-17 |
| 1932662319 | Damaris Santingo Martinez | Registered Nurse | 46 Magnolia Ave, Holyoke, MA 01040 | 2019-04-11 |
| 1104302371 | Cheryl Ann Lauben | Counselor | 476 Appleton Street, Suite 2, Holyoke, MA 01040 | 2018-07-11 |
| 1740704741 | Miranda Lynn Fogg | Behavior Technician | 244 Westfield Rd, Holyoke, MA 01040 | 2017-08-01 |
| 1770020018 | Total Wellness Centers, LLC | Clinical Medical Laboratory | 59 Bobala Rd, Holyoke, MA 01040 | 2017-01-25 |
| 1184097768 | Chi Wan Wong | Physical Therapy Assistant | 110 Cherry Street, Holyoke, MA 01040 | 2015-11-04 |
| 1841666724 | Danielle Moroney | Counselor | River Valley Counseling Center Mental Health Service, 303 Beech St, Holyoke, MA 01040 | 2015-08-14 |
| 1285019638 | Ashley Papineau | Social Worker | 9 Faille Ave, Apt 3, Holyoke, MA 01040 | 2015-07-28 |
| 1205216967 | Vanessa Vazquez | Counselor | 1233 Main St., Holyoke, MA 01040 | 2015-06-08 |
| Find all providers in zip 01040 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275163057 | Jessica Nicole Baker | Nurse Practitioner | 230 Maple St Ste 1, Holyoke, MA 01040-5140 | 2020-01-22 |
| 1073669255 | Elaine Skawski | Nurse Practitioner | 10 Hospital Dr, Suite 303, Holyoke, MA 01040-6603 | 2007-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082366 | Donna Josephine Remmes | Nurse Practitioner | 313 Franklin St, Wrentham, MA 02093-2405 | 2020-11-01 |
| 1912513714 | James Vincent Fournier | Nurse Practitioner | 50 Memorial Dr Ste 205, Leominster, MA 01453-2238 | 2020-09-17 |
| 1386259109 | Maureen Villars | Nurse Practitioner | 32 Orchard Hill Dr, Rutland, MA 01543-1778 | 2020-09-09 |
| 1639783780 | Patricia Varela | Nurse Practitioner | 48 Percival St, Dorchester, MA 02122-1992 | 2020-09-05 |
| 1578172243 | Felicia Mendonca | Nurse Practitioner | 21 Lands End Way, Swansea, MA 02777-2909 | 2020-07-28 |
| 1831716901 | Joan Tiano | Nurse Practitioner | 595 Pawtucket Blvd Ste 3, Lowell, MA 01854-2042 | 2020-07-06 |
| 1720609829 | Angelique Group | Nurse Practitioner | 4 Upland Woods Cir Unit 402, Norwood, MA 02062-3261 | 2020-04-29 |
| 1093341331 | Frew Fikru | Nurse Practitioner | 529 Washington Ave Apt 2, Revere, MA 02151-1962 | 2020-03-18 |
| 1376189084 | Dorcas Korir | Nurse Practitioner | 248 Pleasant St Unit 204, Methuen, MA 01844-7149 | 2019-11-18 |
| 1376194142 | Nicholas Davenport Biscardi | Nurse Practitioner | 6 Wells St, Gloucester, MA 01930-3423 | 2019-09-24 |
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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.