Stark Medical Services Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

STARK MEDICAL SERVICES INC

Practice address

5185 S Tropical TRL
Merritt Island, FL 32952-6422

Phone

(407) 748-9052

NPI assigned

Jul 13, 2021

Last updated

Jul 13, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tarun TewatiaNPI 1285679209

Title

Owner

Phone

(407) 748-9052

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tarun Tewatia, M.D.

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1285679209
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1174195887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 S TROPICAL TRL",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329526422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 S TROPICAL TRL",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329526422",
            "telephone_number": "407-748-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "TEWATIA",
        "authorized_official_first_name": "TARUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-748-9052",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSBP Management LLC (Farrington House Assisted Living Facility)
• Ssmith, Aprn, PLLC
• Jennifer Stadelman
• Erica Joan Stahler, LPN
• Stango P.a.
• Jessica Perrone Stebbins, M.S., LMFT
• Jeannette Sue Steer, RPH
• Laura A Stefanelli, ARNP
• Nicole Moy Stevens, D.D.S.
• Geneene Minette Stewart, LPN

• Internal Medicine Physician in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.