JANE M STARK (NPI# 1780785253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780785253 |
| Entity Type | Individual |
| Full Name | JANE M STARK |
| Credential | MD |
| Practice Address |
2414 Kohler Memorial Dr Sheboygan WI 53081-3129 |
| Practice Telephone | 9204574461 |
| Mailing Telephone | 9204574461 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2016-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
30562 | WI | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
30562-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
30562-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1780785253 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497884977 | Jane S Stark | Counselor | 9 E 68th St, Suite 6a, New York, NY 10065-4915 | 2007-03-02 |
| Street Address |
2414 KOHLER MEMORIAL DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461481 | Tracey N Aukerman | Audiologist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2005-07-21 |
| 1124659420 | Geoffrey Wein | Pharmacist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2020-01-27 |
| 1154961050 | Stephanie L Holschbach | Nurse Practitioner | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2020-01-09 |
| 1104460872 | Amy C Konkol | Physical Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-11-05 |
| 1891346672 | Matthew Paul Buch | Physical Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-09-24 |
| 1073166518 | Molly E Jorde | Dietitian, Registered | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-07-23 |
| 1215419544 | Jayson A Haan | Occupational Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-09-04 |
| 1841779238 | Michelle Zapinski | Registered Nurse | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2018-08-07 |
| 1023502192 | Christine Joel Debruine | Registered Nurse | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-06-21 |
| 1780177675 | Mallory Florence Andrews | Optometrist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578612974 | Mary Jo Capodice | Preventive Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947737 | Agnesian Healthcare Inc | Preventive Medicine | 250 Camelot Dr, Fond Du Lac, WI 54935-8029 | 2020-06-19 |
| 1730677881 | Mark A Roberts | Preventive Medicine | 10552 N Watts Springs Park Rd, Edgerton, WI 53534-8947 | 2018-04-24 |
| 1588914667 | Chris Boyson Chiropractic | Preventive Medicine | 2000 S Memorial Dr, Front, Appleton, WI 54915-1284 | 2012-09-14 |
| 1811258775 | David Allen Goodman | Preventive Medicine | 3939 Monona Dr, 101, Monona, WI 53716-1175 | 2012-06-06 |
| 1689853681 | Magdalen Stepek | Preventive Medicine | 14555 W National Ave Ste 195, New Berlin, WI 53151-4484 | 2007-10-26 |
| 1083830335 | Gregory Kaftan | Preventive Medicine | 5555 30th Ave, Kenosha, WI 53144-2871 | 2007-04-17 |
| 1881754992 | James Paul Martin | Preventive Medicine | 520 Handeyside Lane, Suite 3, Fort Atkinson, WI 53558 | 2006-12-11 |
| 1821168600 | Robbin Elizabeth Papendick | Preventive Medicine | 18945 Danbury Ct, Brookfield, WI 53045-8163 | 2006-11-08 |
| 1881701282 | Nancy Berkas Petro | Preventive Medicine | 4111 W Mitchell St Ste 300, Milwaukee, WI 53215-1748 | 2006-08-23 |
| 1760433510 | William Greaves | Preventive Medicine | 8851 N Bayside Dr, Milwaukee, WI 53217-1910 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
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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.