RAYMOND EDWARD STARK (NPI# 1538479654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538479654 |
| Entity Type | Individual |
| Full Name | RAYMOND EDWARD STARK |
| Credential | RN |
| Practice Address |
61 Delano St Pulaski NY 13142-1400 |
| Practice Telephone | 3152986564 |
| Practice Fax Number | 3152983968 |
| Mailing Telephone | 3152986564 |
| Mailing Fax Number | 3152983968 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
631447-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366415358 | Raymond Stark | Pediatrics | 3959 Broadway, Columbia University Department Pediatrics, New York, NY 10032 | 2006-02-09 |
| Street Address |
61 DELANO ST |
| City | PULASKI |
| State | NY |
| Zip Code | 13142-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527376 | Celeste I Carnes | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2005-09-02 |
| 1023618121 | Caitlin Taylor Corrice | Physical Therapist | 61 Delano St, Pulaski, NY 13142-1400 | 2020-10-28 |
| 1780295139 | Chelsea Jean Louise Claflin | Student in an Organized Health Care Education/Training Program | 61 Delano St, Pulaski, NY 13142-1400 | 2020-08-10 |
| 1245840131 | Megan Hollister | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2020-08-05 |
| 1932724366 | Todd C Bryant | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2020-06-11 |
| 1538797154 | Rachael Stahl | Social Worker | 61 Delano St, Pulaski, NY 13142-1400 | 2020-03-30 |
| 1811538192 | Anson Dann | Physical Therapist | 61 Delano St, Pulaski, NY 13142-1400 | 2019-10-08 |
| 1568012920 | Wenling Riehle | Social Worker | 61 Delano St, Pulaski, NY 13142-1400 | 2019-09-18 |
| 1568025120 | Julie A Dewey | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2019-04-19 |
| 1477031342 | Mary E Shaben | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2018-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740461904 | William C. Buck | Pharmacist | 4767 Salina Street, Pulaski, NY 13142 | 2007-11-16 |
| 1023231149 | Jody Lee Hipple | Nurse Practitioner | 61 Delano Street, Pulaski, NY 13142 | 2007-04-10 |
| 1427189638 | Jay F Sullivan Md PC | Family Medicine | 4882b North Jefferson St, Pulaski, NY 13142 | 2007-03-08 |
| 1932239605 | Angela L Christmas-mattison | Social Worker | 4 Hubble Street, Pulaski, NY 13142 | 2007-03-06 |
| 1912072869 | Jeffery D Ford | Chiropractor | 1 James St, Pulaski, NY 13142 | 2006-11-22 |
| 1518078716 | Smile Factory Inc | Dentist | 20 Bridge Street, Pulaski, NY 13142 | 2006-08-31 |
| 1861426413 | Jay Frederick Sullivan | Family Medicine | 4882b North Jefferson Street, Pulaski, NY 13142 | 2006-07-10 |
| 1710469416 | Megan Lee Phillips | Pharmacist | 3873 Rome Rd, Pulaski, NY 13142 | 2018-08-30 |
| 1689058489 | Podiatry Services of Central New York, PC | Podiatrist | 61 Delano Street, Pulaski, NY 13142 | 2015-07-13 |
| 1811266885 | Claudia Hurne | Registered Nurse | 124 Salisbury Street, Sandy Creek, NY 13142-0248 | 2011-12-21 |
| Find all providers in zip 13142 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
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| 1790384881 | Sarah Bast | Registered Nurse | 259 Ithaca Rd, Spencer, NY 14883-9370 | 2020-10-20 |
| 1114525797 | Lavern H Simms | Registered Nurse | 207 Long Beach Rd, Hempstead, NY 11550-7314 | 2020-10-15 |
| 1205434453 | Aida Cino | Registered Nurse | 1522 W 1st St Fl 2, Brooklyn, NY 11204-3501 | 2020-10-10 |
| 1902412968 | Elizabeth Jane Harbin | Registered Nurse | 810 Curtis Ave, Staten Island, NY 10310-2611 | 2020-09-16 |
| 1205441946 | Laura Innes | Registered Nurse | 6 Aldar Ct, Cortlandt Manor, NY 10567-1304 | 2020-09-10 |
| 1093329831 | Jael Brooks | Registered Nurse | 647 E 232nd St Apt 3a, Bronx, NY 10466-2923 | 2020-08-31 |
| 1730790106 | Heidi Velasquez | Registered Nurse | 29 Stanley St, Inwood, NY 11096-1513 | 2020-08-11 |
| 1578188835 | Cindy E Perkins | Registered Nurse | 7531 Ct Rt 89, Bath, NY 14810 | 2020-06-12 |
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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.