Jeffrey Ray Stark (NPI# 1598863748, PAC ID# 0446443162) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1598863748 |
| PAC ID by PECOS | 0446443162 |
| Professional Enrollment ID | I20101026000379 |
| Full Name | Jeffrey Ray Stark |
| Address |
11638 W Florissant Ave Florissant MO 63033-6723 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1998 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11638 W Florissant Ave, Florissant, MO 63033-6723 |
| Street Address |
11638 W FLORISSANT AVE |
| City | FLORISSANT |
| State | MO |
| Zip | 63033-6723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher James Hummel | Chiropractic | 11638 W Florissant Ave, Back and Neck Care Center, Florissant, MO 63033-6723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol F Merritt | Optometry | 2750 N Hwy 67, Florissant, MO 63033-1402 | |
| Kevin L Mcclain | Chiropractic | 2640 N Us Hwy 67, Florissant, MO 63033-1438 | |
| Nancy E Noel | Emergency Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Cynthia X Wiederholt | Emergency Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Bessevelyn M Tables | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Manuel L San | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| David Dunn | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Phillip J Greene | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Kathryn A Followell | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Paul D D Rains | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Find all physicians in zip 63033 | |||
| City | FLORISSANT |
| Zip Code | 63033 |
| Specialty | CHIROPRACTIC |
| City + Specialty | FLORISSANT + CHIROPRACTIC |
Please comment or provide details below to improve the information on Jeffrey Ray Stark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.