Travis Jack Stark (NPI# 1487949384, PAC ID# 0749592814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1487949384 |
PAC ID by PECOS | 0749592814 |
Professional Enrollment ID | I20150702001190 |
Full Name | Travis Jack Stark |
Organization Legal Name | COMPREHENSIVE FOOT AND ANKLE INSTITUTE PLLC |
Address |
13401 N Western Ave Oklahoma City OK 73114-1412 |
Phone Number | 4056073668 |
Gender | M |
Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
Graduation Year | 2011 |
Primary Specialty | PODIATRY |
Group Practice PAC ID | 1850603929 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370037 | ST ANTHONY HOSPITAL |
Address | Phone | Organization |
---|---|---|
13401 N Western Ave, Oklahoma City, OK 73114-1412 | 4056073668 | COMPREHENSIVE FOOT AND ANKLE INSTITUTE PLLC |
13401 N Western Ave, Suite 405, Oklahoma City, OK 73114-1412 | 4056073668 | COMPREHENSIVE FOOT AND ANKLE INSTITUTE PLLC |
Organization Legal Name | COMPREHENSIVE FOOT AND ANKLE INSTITUTE PLLC |
Physicians | 1 |
Street Address |
13401 N WESTERN AVE |
City | OKLAHOMA CITY |
State | OK |
Zip | 73114-1412 |
Name | Specialty | Organization | Address |
---|---|---|---|
Seethal Rao Madhavarapu | Family Medicine | Oklahoma Sports and Orthopedics Institute Pllc | 13401 N Western Ave, Suite 301, Oklahoma City, OK 73114-1411 |
Name | Specialty | Organization | Address |
---|---|---|---|
Samuel Schmid | Optometry | 1408 W Britton Rd, Oklahoma City, OK 73114-1316 | |
Timothy D Thomas | Podiatry | Foot and Ankle Surgeons of Oklahoma Pllc | 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 |
Alaina J Jones | Podiatry | Foot and Ankle Surgeons of Oklahoma Pllc | 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 |
Richard D Watkins | Nurse Practitioner | Elite Pain and Health PC | 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 |
Jason J Jackson | Physical Medicine and Rehabilitation | Elite Pain and Health PC | 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 |
Tiffany Ogden | Nurse Practitioner | Elite Pain and Health PC | 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 |
Tammy Lynn Williams | Nurse Practitioner | Elite Pain and Health PC | 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 |
Brandon M Rhinehart | Dermatology | Skin Surgery Center of Oklahoma, P.C. | 13100 N Western Ave, Suite 301, Oklahoma City, OK 73114-1432 |
Paige E Beverly | Physician Assistant | Skin Surgery Center of Oklahoma, P.C. | 13100 N Western Ave, Suite 301, Oklahoma City, OK 73114-1432 |
Jodi E. Jenista | Nurse Practitioner | Allied Physicians Group Inc P C | 8014 N Western Ave, Suite E, Oklahoma City, OK 73114-1911 |
Find all physicians in zip 73114 |
City | OKLAHOMA CITY |
Zip Code | 73114 |
Specialty | PODIATRY |
City + Specialty | OKLAHOMA CITY + PODIATRY |
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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.