T GAIL STARK DPM PA (NPI# 1568541142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568541142 |
| Entity Type | Organization |
| Organization Name | T GAIL STARK DPM PA |
| Practice Address |
12385 Sorrento Rd Suite D-4 Pensacola FL 32507-8664 |
| Practice Telephone | 8504978876 |
| Practice Fax Number | 8504971721 |
| Mailing Telephone | 8504978876 |
| Mailing Fax Number | 8504971721 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. T GAIL STARK (PRESIDENT) |
| Authorized Official Telephone | 8504978876 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO2420 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA | 5439096 | 01 |
| FL | GHI | 1400157 | 01 |
| AL | BLUE CROSS ALABAMA | 59138421 | 01 |
| Street Address |
12385 SORRENTO RD SUITE D-4 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32507-8664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114305414 | Lil Dental, P.a. | Dentist | 12385 Sorrento Rd, Pensacola, FL 32507-8664 | 2015-05-07 |
| 1417344904 | Campus Health Systems, LLC | Dentist | 12385 Sorrento Rd, Suite B2, Pensacola, FL 32507-8664 | 2015-04-22 |
| 1326380213 | Pediatric Associates Pa | Allergy & Immunology | 12385 Sorrento Rd, Suite C4, Pensacola, FL 32507-8664 | 2013-03-19 |
| 1326382177 | Dmddds, Inc. | Dentist | 12385 Sorrento Rd, Suite B-1, Pensacola, FL 32507-8664 | 2012-11-18 |
| 1548405210 | Louis Michael Papadelias | Dentist | 12385 Sorrento Rd, A-1, Pensacola, FL 32507-8664 | 2008-12-10 |
| 1396994166 | Ankle & Foot Specialists Pa | Nurse Practitioner | 12385 Sorrento Rd, Suite D-4, Pensacola, FL 32507-8664 | 2008-09-16 |
| 1548427933 | Christopher Martin Campus | Dentist | 12385 Sorrento Rd, Suite B-1, Pensacola, FL 32507-8664 | 2008-05-22 |
| 1184847824 | Robyn Leslie Varner | Specialist | 12385 Sorrento Rd, Pensacola, FL 32507-8664 | 2007-04-11 |
| 1407978851 | Perdido Dental Associates, Pa | Dentist | 12385 Sorrento Rd, Suite A-1, Pensacola, FL 32507-8664 | 2007-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725163 | Rachel Lynn Cain | Social Worker | Jacc Hudvash C/o Rachel Cain, 790 Veteran's Way, Pensacola, FL 32507 | 2019-05-20 |
| 1710489562 | Erika Ruth Atkins | Developmental Therapist | 14530 Perdido Key Dr., Unit 6, Pensacola, FL 32507 | 2018-03-07 |
| 1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
| 1568834182 | Kalia Belessis | Behavioral Analyst | 30 S. 3rd Street, Pensacola, FL 32507 | 2015-10-22 |
| 1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1851528764 | Xin Wei | Internal Medicine | 6000 West Highway 98, Apo, AP 32507 | 2009-06-18 |
| 1205033842 | Lori Lynn Douglass | Day Training, Developmentally Disabled Services | 4711 Huron Dr, Pensacola, FL 32507 | 2007-06-28 |
| 1346461985 | Jennifer Ann Sculley | Pharmacist | 13019 Sorrento Road, Pensacola, FL 32507 | 2007-05-01 |
| 1528183704 | Al M Ridlehoover | Dentist | 302 W Sunset Ave, Pensacola, FL 32507 | 2007-03-20 |
| Find all providers in zip 32507 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447458419 | Jon A. Snellgrove Dpm Pa | Podiatrist | 6202 N. 9th Ave., Suite 4, Pensacola, FL 32504-8291 | 2007-07-11 |
| 1750460341 | T Gail Stark | Podiatrist | 11739 Chanticleer Dr, Pensacola, FL 32507-4150 | 2006-11-03 |
| 1003904467 | Joseph E Kiefer | Podiatrist | 1851 N 9th Ave., Pensacola, FL 32503-4535 | 2006-10-11 |
| 1629179973 | Mark A Lambert | Podiatrist | 4850 North Ninth Avenue, Pensacola, FL 32503 | 2006-09-26 |
| 1356303416 | James Fitzgerald Noel | Podiatrist | 2172 W Nine Mile Rd # 212, Pensacola, FL 32534-9413 | 2006-04-04 |
| 1588665830 | Scott Elliot Rickoff | Podiatrist | 2110 N Palafox St, Pensacola, FL 32501-1721 | 2005-08-09 |
| 1154328177 | Mark S Isenberg | Podiatrist | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2005-07-05 |
| 1629517917 | Evolve Podiatry LLC | Podiatrist | 1717 N E St, 116-a, Pensacola, FL 32501-6339 | 2017-02-20 |
| 1528326725 | Jeffrey T Weiland | Podiatrist | 1717 N E St, 116a, Pensacola, FL 32501-6339 | 2012-04-25 |
| 1598954968 | Mark A Lambert | Podiatrist | 4850 N 9th Ave, Pensacola, FL 32503-2407 | 2007-10-22 |
| Find all providers in PENSACOLA | ||||
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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.