DR. ROBERT TIMOTHY STARK (NPI# 1497794523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497794523 |
| Entity Type | Individual |
| Full Name | DR. ROBERT TIMOTHY STARK |
| Credential | M.D. |
| Practice Address |
2418 N Oak St Suite G Valdosta GA 31602-2576 |
| Practice Telephone | 2295884419 |
| Practice Fax Number | 2295884468 |
| Mailing Telephone | 2295884419 |
| Mailing Fax Number | 2295884468 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2011-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 045632 | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518520188 | Robert Stark | Peer Specialist | 15765 Kingsley Rd., Ninilchik, AK 99639 | 2019-04-18 |
| 1821320540 | Robert Louis Stark II | Dentist | 178 Oak Ridge Dr, Butler, PA 16002-3940 | 2010-02-04 |
| 1225158975 | Robert H Stark Jr. | Dentist | 4530 Union Bay Pl Ne Ste 206, Seattle, WA 98105-4000 | 2007-03-29 |
| 1144345687 | Robert Schaer Stark | Family Medicine | 205 N Park St, Brenham, TX 77833-3144 | 2007-03-21 |
| 1871503383 | Robert Michael Stark | Internal Medicine | 40 W Elm St, Greenwich, CT 06830-6425 | 2006-08-08 |
| 1427087352 | Robert Adrian Stark | Dentist | 5691 Tinker Diagonal, Midwest City, OK 73110-2821 | 2006-07-02 |
| 1427035484 | Robert N Stark Jr. | Family Medicine | 1005 W Ralph Hall Pkwy Ste 221, Rockwall, TX 75032-6662 | 2005-12-29 |
| 1194091223 | Robert S Stark | Psychologist | 1432 Grand Ave, Glenwood Springs, CO 81601-3808 | 2012-03-22 |
| 1215197405 | Robert Stark | Counselor | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2008-06-11 |
| 1871696880 | Robert E Stark | Dentist | 975 N Church St, Spartanburg, SC 29303-4104 | 2006-09-06 |
| Street Address |
2418 N OAK ST SUITE G |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-2576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548215916 | Quintin M Pulido | Specialist | 2418 N Oak St, Suite F, Valdosta, GA 31602-2534 | 2006-05-24 |
| 1184286684 | Michael Caoile | Nurse Practitioner | 2418 N Oak St, Valdosta, GA 31602-2576 | 2019-07-03 |
| 1629342274 | Hospital Authority of Valdosta and Lowndes County Georgia | Surgery | 2418 N Oak St, Suite F, Valdosta, GA 31602-2576 | 2012-02-29 |
| 1568789329 | Maria C Castellano, Md, LLC | Internal Medicine | 2418 N Oak St, Suite J, Valdosta, GA 31602-2576 | 2010-05-03 |
| 1124286521 | Physicians Institute for Pain Management, LLC | Specialist | 2418 N Oak St, Suite B 1, Valdosta, GA 31602-2576 | 2008-06-02 |
| 1447476718 | Quintin M Pulido Md Facs | Surgery | 2418 N Oak St, Suite F, Valdosta, GA 31602-2576 | 2007-04-17 |
| 1619011566 | Robert Hal Bennett Jr. | Physical Therapist | 2418 N Oak St, Suite C, Valdosta, GA 31602-2576 | 2007-02-16 |
| 1073695292 | William C Tidmore Jr. | Internal Medicine | 2418 N Oak St, Valdosta, GA 31602-2576 | 2006-10-19 |
| 1396827457 | Jennifer E Lawrence | Internal Medicine | 2418 N Oak St, Valdosta, GA 31602-2576 | 2006-10-19 |
| 1730273400 | Georgia Ent & Facial Plastics, P.C. | Otolaryngology | 2418 N Oak St, Suite G, Valdosta, GA 31602-2575 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356767404 | Delilah Byron | Specialist | 4353 Sandy Springs Dr, Valdosta, GA 31605-5492 | 2014-03-13 |
| 1861676892 | Southern Urological Associates | Specialist | 2805 N Oak St, Suite B, Valdosta, GA 31602-5922 | 2007-12-27 |
| 1144404484 | Valdosta Urological Associates | Specialist | 3543 North Crossing Circle, Valdosta, GA 31602 | 2007-12-21 |
| 1265612337 | Barbara J. Williams | Specialist | 2704 N Oak St A2, Valdosta, GA 31602 | 2007-11-06 |
| 1659587301 | Fauzia K. Durrani M.d., PC | Specialist | 107 Woodrow Wilson Dr, Valdosta, GA 31602-2539 | 2007-05-16 |
| 1952431223 | Azalea Center for Plastic Surgery PC | Specialist | 2810 N Oak St, Valdosta, GA 31602-1716 | 2007-03-06 |
| 1326174327 | Steven T. Greenhaw Md PC | Specialist | 2704 N Oak St Bldg G, Valdosta, GA 31602-1767 | 2007-02-26 |
| 1194898288 | Laura D Gwillim | Specialist | 2704 C N Oak St, Valdosta, GA 31602-1781 | 2006-11-16 |
| 1588740609 | Joel P. Hunnicutt | Specialist | 2804 C. N. Oak Street, Valdosta, GA 31602 | 2006-10-31 |
| 1134148208 | Valdosta Anesthesia Associates, P.C. | Specialist | 2310 N Patterson St Bldg C, Valdosta, GA 31602-2500 | 2006-07-19 |
| Find all providers in VALDOSTA | ||||
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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.