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

Last updated

Dec 5, 2012By 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

Gerald T Stashak, M.D.NPI 1285705145

Title

Owner/President

Phone

(561) 832-8886

Specialties & licenses 1

Addresses

Locations

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.

• Gerald Thomas Stashak, M.D.

  • Specialist
  • West Palm Beach, FL
  • NPI 1285705145
  Authorized official Same address or phone

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
• Rita Gerges
• Geriatrex Lab Services LLC
• Darlyne Germain Syllion, FNP

• 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.