JEFFREY ERIC STARK


Address: 35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816-2618
Phone: 5186773961

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 13320-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers JEFFREY STARK

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

Office Location

Street Address 35 GILBERT STREET
CAMBRIDGE MEDICAL CENTER
City CAMBRIDGE
State NY
Zip Code 12816-2618

Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CAMBRIDGE
Zip Code 12816

Improve Information

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Dataset Information

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.

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