Gerald T Stashak MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0057975 Issued in FL

Legal business name

GERALD T STASHAK MD PA

Practice address

5305 Greenwood Ave
Suite 204
West Palm Beach, FL 33407-2451

Phone

(561) 832-8886

Fax

(561) 832-8802

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Gerald T Stashak, M.D.

Title

Owner/President

Phone

(561) 832-8886

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1265623219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 GREENWOOD AVE",
            "address_2": "SUITE 204",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072451",
            "telephone_number": "561-832-8886",
            "fax_number": "561-832-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 GREENWOOD AVE",
            "address_2": "SUITE 204",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072451",
            "telephone_number": "561-832-8886",
            "fax_number": "561-832-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD T STASHAK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "STASHAK",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "561-832-8886",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0057975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dagobert Joseph Georges, LCSW
• Emmanuella Georges
• Jenychard Georges
• Andrew M Georgeson, DO
• Gerald J Oconnor MD PA
• Shayli M Gerard, MS
• Cynthia M Gerardi
• Geriatrex Lab Services LLC
• Darlyne Germain Syllion, FNP
• Vanessa Germain, LCSW

• Specialist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.