DANA STARK (NPI# 1750554895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750554895 |
| Entity Type | Individual |
| Full Name | DANA STARK |
| Credential | PA |
| Practice Address |
2731 Healthcare Dr Syracuse NE 68446-7880 |
| Mailing Address |
Po Box N Syracuse NE 68446-0518 |
| Practice Telephone | 4022692611 |
| Mailing Telephone | 4022692611 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0673 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6830390 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497817043 | Dana Fogel Stark | Marriage & Family Therapist | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2006-12-13 |
| Street Address |
2731 HEALTHCARE DR |
| City | SYRACUSE |
| State | NE |
| Zip Code | 68446-7880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487660601 | Zachariah E. Tempelmeyer | Family Medicine | 2731 Healthcare Dr, Syracuse, NE 68446-7880 | 2006-07-31 |
| 1154948131 | Emily Candice Iske | Counselor | 2731 Healthcare Dr, Syracuse, NE 68446-7880 | 2020-06-25 |
| 1144879289 | Heather Noerrlinger | Family Medicine | 2731 Healthcare Dr, Syracuse, NE 68446-7880 | 2019-09-11 |
| 1497302012 | Laura Buller | Physical Therapist | 2731 Healthcare Dr, Syracuse, NE 68446-7880 | 2019-08-19 |
| 1376044842 | Community Memorial Hospital District | Durable Medical Equipment & Medical Supplies | 2731 Healthcare Dr, Syracuse, NE 68446-7880 | 2018-02-21 |
| 1699141069 | Cindy Marie Keckler | Nurse Practitioner | 2731 Healthcare Dr, Syracuse, NE 68446-7880 | 2015-08-19 |
| 1932514247 | Janae Dudgeon | Family Medicine | 2731 Healthcare Dr, Syracuse, NE 68446-7880 | 2014-06-25 |
| 1497764559 | Community Memorial Hospital District | General Acute Care Hospital | 2731 Healthcare Dr, Syracuse, NE 68446-7880 | 2006-08-07 |
| 1699784751 | Community Memorial Hospital District | Clinic/Center | 2731 Healthcare Dr, Syracuse, NE 68446-7880 | 2006-08-07 |
| 1013925924 | Community Memorial Hospital District | General Acute Care Hospital | 2731 Healthcare Dr, Syracuse, NE 68446-7880 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215489422 | Lindsey Elder | Nurse Practitioner | 2731 Healthcare Drive, Syracuse, NE 68446 | 2016-11-04 |
| 1548639693 | Kenzi Steele | Occupational Therapist | 550 7th Street, Syracuse, NE 68446 | 2015-09-18 |
| 1578647848 | David Jon Schrad | Dentist | 935 1st St., Syracuse, NE 68446 | 2006-10-24 |
| 1902916083 | Nancy Kay Davis | Chiropractor | 112 Park Street, Syracuse, NE 68446 | 2006-08-30 |
| 1629081344 | Ronda Renee Stinson | Pharmacist | 448 5th St, Syracuse, NE 68446 | 2006-08-14 |
| 1588670715 | Kerstin C Beach | Family Medicine | 277 East 17th Street, Syracuse, NE 68446 | 2006-07-31 |
| 1164040754 | Kali M Manley | Registered Nurse | 550 7th Street, Syracuse, NE 68446 | 2020-07-09 |
| 1275989634 | Syracuse Dental Clinic LLC | Clinic/Center | 935 1st St, Syracuse, NE 68446 | 2016-05-04 |
| 1760851638 | Diane Jergensen | Speech-Language Pathologist | 550 7th Street, Syracuse, NE 68446 | 2015-09-21 |
| 1033122767 | Lee M Rohrs | Pharmacist | 448 5th St, Syracuse, NE 68446 | 2006-08-14 |
| Find all providers in zip 68446 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679133359 | Nicole Raczkowski | Physician Assistant | 121 Gertrude St Apt 1, Syracuse, NY 13203-2441 | 2019-06-16 |
| 1710544218 | Silver Lining Medical & Consulting, LLC | Physician Assistant | 2876 S 1200 W, Syracuse, UT 84075-8653 | 2019-05-21 |
| 1942779871 | Elizabeth Eileen Chaskey | Physician Assistant | 103 Lockwood Rd, Syracuse, NY 13214-2032 | 2018-11-20 |
| 1316452964 | Merrick Lynne Doody | Physician Assistant | 104 Union Ave # 806-807, Syracuse, NY 13203-1843 | 2017-12-05 |
| 1831640440 | Elana Radin | Physician Assistant | 4440 Ashfield Ter, Syracuse, NY 13215-2463 | 2016-10-18 |
| 1659820835 | Eric Lance Brandenburg | Physician Assistant | 1120 Westmoreland Ave, Syracuse, NY 13210-3161 | 2016-09-28 |
| 1831555747 | Ward Irvin Jr. | Physician Assistant | 104 Union Ave Ste 908, Syracuse, NY 13203-1845 | 2016-01-07 |
| 1497158158 | Jill J Weatherly | Physician Assistant | 4900 Broad Rd Ofc, Syracuse, NY 13215-2265 | 2014-10-08 |
| 1144563800 | Melissa Anne Harnsberger | Physician Assistant | 1000 E Genesee St Ste 300, Syracuse, NY 13210-1853 | 2013-04-01 |
| 1306184403 | Adriane Nicole Arnold | Physician Assistant | 317 S Clinton St, Apt 4d, Syracuse, NY 13202-1216 | 2013-01-23 |
| Find all providers in SYRACUSE | ||||
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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.