TIMOTHY W STARK (NPI# 1811147325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811147325 |
| Entity Type | Individual |
| Full Name | TIMOTHY W STARK |
| Credential | DC DACBSP ICSSD CSCS |
| Practice Address |
715 13th Ave E Suite 101 West Fargo ND 58078-3380 |
| Practice Telephone | 7014920696 |
| Practice Fax Number | 7014920696 |
| Mailing Telephone | 7014920696 |
| Mailing Fax Number | 7014920696 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
647 | ND | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945636 | Timothy T Stark | Physical Therapist | 6000 Hillandale Dr, Ste 145, Lithonia, GA 30058-4840 | 2016-07-28 |
| 1457500670 | Timothy A. Stark | Marriage & Family Therapist | 84-275 Makaha Valley Rd, Waianae, HI 96792-2130 | 2008-09-11 |
| 1861024622 | Timothy Wayne Stark | Physical Therapist | 4532 W Gate Blvd Ste 100, Austin, TX 78745-1463 | 2020-02-10 |
| 1275995391 | Timothy William Stark | Urology | 800 Rose St, Mn-283, Lexington, KY 40536-7001 | 2016-03-28 |
| 1215145032 | Timothy Daniel Stark | Anesthesiology | 250 Bon Air Rd, Greenbrae, CA 94904 | 2007-05-18 |
| Street Address |
715 13TH AVE E SUITE 101 |
| City | WEST FARGO |
| State | ND |
| Zip Code | 58078-3380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205068 | Ashley Kasson Therapy | Counselor | 3220 4th St E, West Fargo, ND 58078 | 2020-11-04 |
| 1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
| 1629597919 | Cody Freng | Specialist/Technologist | 3276 9th St W Apt C, West Fargo, ND 58078 | 2017-09-18 |
| 1831613942 | Lauren Phyllis Loe | Physical Therapist | 1401 13th Avenue East, Essentia Health West Fargo Clinic, West Fargo, ND 58078 | 2017-07-31 |
| 1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
| 1922490101 | Betty Ann Helmer | Social Worker | 2355 Meadow Ridge Parkway, West Fargo, ND 58078 | 2015-02-25 |
| 1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
| 1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
| Find all providers in zip 58078 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144390998 | Ficek Chiropractic, PC | Chiropractor | 820 2nd Ave. W, New England, ND 58647-0462 | 2006-11-09 |
| 1992881205 | Sherri Ann Armitage | Chiropractor | 509 2nd St W, Edgeley, ND 58433-0074 | 2006-10-29 |
| 1578598587 | Alisa T Mitskog | Chiropractor | 319 11th St N, Wahpeton, ND 58075-4111 | 2006-07-11 |
| 1740234947 | Robert J Purcell | Chiropractor | 623 10th St Se, Jamestown, ND 58401-5546 | 2006-05-20 |
| 1558343707 | Bradley D Kraft | Chiropractor | 212 S Broadway, Suite #4, Minot, ND 58701-3867 | 2005-11-15 |
| 1396824017 | Ficek Chiropractic, PC | Chiropractor | 562 1/2 12th St. W, Dickinson, ND 58601-3509 | 2006-11-03 |
| 1598849184 | Dion S. Ficek | Chiropractor | 562 1/2 12th St. W, Dickinson, ND 58601-3509 | 2006-10-24 |
| City | WEST FARGO |
| Zip Code | 58078 |
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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.