JEFFREY ERIC STARK (NPI# 1912239468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912239468 |
Entity Type | Individual |
Full Name | JEFFREY ERIC STARK |
Credential | RPA-C |
Practice Address |
35 Gilbert Street Cambridge Medical Center Cambridge NY 12816-2618 |
Mailing Address |
100 Park Street Glens Falls Hospital - Credentialing Glens Falls NY 12801-4413 |
Practice Telephone | 5186773961 |
Practice Fax Number | 5186773180 |
Mailing Telephone | 5189265924 |
Mailing Fax Number | 5189266983 |
Enumeration Date | 2010-02-09 |
Last Update Date | 2020-03-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 13320-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679839799 | Jeffrey D Stark | Counselor | 1006 Wilson Rd, Wilmington, DE 19803-3449 | 2012-04-03 |
1124112255 | Jeffrey Howard Stark | Podiatrist | 6216 Myrtle Ave, Glendale, NY 11385-6236 | 2006-10-03 |
1114922994 | Jeffrey M Stark | Podiatrist | 1 Duncan Pl, Oceanside, NY 11572-1306 | 2005-06-17 |
1275905952 | Jeffrey Stark | Pharmacist | 175 W Army Trail Rd, Glendale Heights, IL 60139-1971 | 2015-10-21 |
1568640621 | Jeffrey L Stark Jr. | Internal Medicine | 2959 Sharpsburg Mccollum Rd, Newnan, GA 30265 | 2008-01-31 |
1295809937 | Jeffrey David Stark | Optometrist | 2472 Broadway, New York, NY 10025-7449 | 2006-11-17 |
1598863748 | Jeffrey Ray Stark | Chiropractor | 11638 W Florissant Ave, Florissant, MO 63033-6723 | 2006-09-20 |
1356303630 | Jeffrey L Stark | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-04-04 |
Street Address |
35 GILBERT STREET CAMBRIDGE MEDICAL CENTER |
City | CAMBRIDGE |
State | NY |
Zip Code | 12816-2618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558477596 | Ellen Marie Biggers | Obstetrics & Gynecology | 22 North Park Street, Cambridge, NY 12816 | 2006-08-22 |
1750385381 | Joanne Steele | Nurse Practitioner | 57 W Main St, Cambridge, NY 12816 | 2005-06-10 |
1700877149 | Brian Marc Resnik | Physician Assistant | 35 Gilbert St, Cambridge, NY 12816 | 2005-11-03 |
1669513685 | Francis Stanley Pultorak | Dentist | 14 Myrtle Ave, Cambridge, NY 12816-1004 | 2007-02-11 |
1104442839 | Icc Management & Consulting, Inc | Assisted Living Facility | 11 S Union St, Cambridge, NY 12816-1008 | 2020-06-18 |
1861640526 | Bridget O Rowan | Pharmacist | 55 W Main St, Cambridge, NY 12816-1021 | 2008-09-05 |
1457433260 | Ohearns Pharmacy Inc | Pharmacist | 55 W Main St, Cambridge, NY 12816-1021 | 2006-10-20 |
1518935741 | Heather K Alden | Chiropractor | 57 W Main St, Cambridge, NY 12816-1021 | 2006-03-14 |
1699094656 | Michael Fredrick Bohley | Counselor | 84 W Main St, Suite 2, Cambridge, NY 12816-1086 | 2010-05-28 |
1154501872 | David Lester | Pharmacist | 2 N Park St, Cambridge, NY 12816-1105 | 2007-11-09 |
Find all providers in zip 12816 |
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 |
---|---|---|---|---|
1043827058 | Anupa Manjunatha | Physician Assistant | 33 Rogers St Apt 210, Cambridge, MA 02142-1516 | 2020-09-24 |
1083263594 | Katherine Lemons | Physician Assistant | 6 Crawford St Apt 10, Cambridge, MA 02139-1644 | 2019-09-06 |
1790346674 | Heather Ann Borden | Physician Assistant | 87 New St Unit 207, Cambridge, MA 02138-1287 | 2019-06-22 |
1902331408 | Celia Alexandra Charlois | Physician Assistant | 169 Monsignor Obrien Hwy, Apt 805, Cambridge, MA 02141-1289 | 2017-04-22 |
1609244078 | Shawna Young | Physician Assistant | 817 Main St N, Cambridge, MN 55008-1275 | 2015-09-02 |
1518304567 | Samantha L Elich | Physician Assistant | 1435 Cambridge Street, Cambridge, MA 02139-1047 | 2013-05-31 |
1902418411 | Emily Grace Yanico | Physician Assistant | 1330 Clark St, Cambridge, OH 43725-9614 | 2020-08-18 |
1043833221 | Nicholas D Gottshall | Physician Assistant | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-22 |
1760029342 | Christina Leahy | Physician Assistant | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2019-12-03 |
1184261745 | Julianne Grace James | Physician Assistant | 1515 Maple Dr, Cambridge, OH 43725-1162 | 2019-12-03 |
Find all providers in CAMBRIDGE |
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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.