Timothy W Stark (NPI# 1811147325, PAC ID# 5597669564) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1811147325 |
| PAC ID by PECOS | 5597669564 |
| Professional Enrollment ID | I20141117000192 |
| Full Name | Timothy W Stark |
| Organization Legal Name | NORTHWESTERN HEALTH SCIENCES UNIVERSITY |
| Address |
2501 84th St W Bloomington MN 55431-1599 |
| Phone Number | 9528855444 |
| Gender | M |
| Credential | DC |
| Graduation Year | 1996 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8820088834 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2501 84th St W, Bloomington, MN 55431-1599 | 9528855444 | NORTHWESTERN HEALTH SCIENCES UNIVERSITY |
| Organization Legal Name | NORTHWESTERN HEALTH SCIENCES UNIVERSITY |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley A Finer | Chiropractic | Northwestern Health Sciences University | 2501 84th St W, Bloomington, MN 55431-1599 |
| Zachary J Zachman | Chiropractic | Northwestern Health Sciences University | 2501 84th St W, Bloomington, MN 55431-1599 |
| Patricia J Whitney | Physical Therapy | Northwestern Health Sciences University | 2501 84th St W, Bloomington, MN 55431-1599 |
| Stacy M Boone-vikingson | Chiropractic | Northwestern Health Sciences University | 2501 84th St W, Bloomington, MN 55431-1599 |
| Amy L Horton | Chiropractic | Northwestern Health Sciences University | 2501 84th St W, Bloomington, MN 55431-1599 |
| Michele M Vincent | Chiropractic | Northwestern Health Sciences University | 2501 84th St W, Bloomington, MN 55431-1599 |
| Anne M Packard Spicer | Chiropractic | Northwestern Health Sciences University | 2501 84th St W, Bloomington, MN 55431-1599 |
| Street Address |
2501 84TH ST W |
| City | BLOOMINGTON |
| State | MN |
| Zip | 55431-1599 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley A Finer | Chiropractic | Northwestern Health Sciences University | 2501 84th St W, Bloomington, MN 55431-1599 |
| Zachary J Zachman | Chiropractic | Northwestern Health Sciences University | 2501 84th St W, Bloomington, MN 55431-1599 |
| Patricia J Whitney | Physical Therapy | Northwestern Health Sciences University | 2501 84th St W, Bloomington, MN 55431-1599 |
| Stacy M Boone-vikingson | Chiropractic | Northwestern Health Sciences University | 2501 84th St W, Bloomington, MN 55431-1599 |
| Amy L Horton | Chiropractic | Northwestern Health Sciences University | 2501 84th St W, Bloomington, MN 55431-1599 |
| Michele M Vincent | Chiropractic | Northwestern Health Sciences University | 2501 84th St W, Bloomington, MN 55431-1599 |
| Anne M Packard Spicer | Chiropractic | Northwestern Health Sciences University | 2501 84th St W, Bloomington, MN 55431-1599 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A White | Clinical Social Worker | Catalyst Mental Health Sbc | 8120 Penn Ave S, Suite 400, Bloomington, MN 55431-1311 |
| Cassandra D Mcguire | Chiropractic | Chirocenterbloomingtonpa | 8120 Penn S Ave, Suite 525, Bloomington, MN 55431-1312 |
| Eric A Schmitt | Chiropractic | Chirocenterbloomingtonpa | 8120 Penn S Ave, Suite 525, Bloomington, MN 55431-1312 |
| Kelsey M Perreault | Chiropractic | Chirocenterbloomingtonpa | 8120 Penn S Ave, Bloomington, MN 55431-1312 |
| Richard J Hruby | Osteopathic Manipulative Medicine | 8120 Penn Ave S, Suite 440, Bloomington, MN 55431-1326 | |
| Scott R Corbett | Osteopathic Manipulative Medicine | 8120 Penn Ave S, Suite 440, Bloomington, MN 55431-1326 | |
| Cindy S Libman | Clinical Social Worker | 8120 Penn Ave S, Suite 455, Bloomington, MN 55431-1337 | |
| Colette C Kuhn | Psychologist, Clinical | Chjl LLC | 8120 Penn Ave S, Suite 252, Bloomington, MN 55431-1358 |
| Hoinu T Bunce | Psychologist, Clinical | Chjl LLC | 8120 Penn Ave S, Suite 252, Bloomington, MN 55431-1358 |
| Jason M Fredericks | Chiropractic | 8200 Humboldt Ave S, Suite 204, Bloomington, MN 55431-1432 | |
| Find all physicians in zip 55431 | |||
| City | BLOOMINGTON |
| Zip Code | 55431 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BLOOMINGTON + CHIROPRACTIC |
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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.