Individual provider Active NPI

Gerald Thomas Stashak, M.D.

  • Specialist
  • West Palm Beach, FL
National Provider Identifier
1285705145
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0057975 Issued in FL
Practice address
5305 Greenwood Ave
Suite 204
West Palm Beach, FL 33407-2451
Phone
(561) 832-8886
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0057975 FL Primary

Addresses

Primary practice location

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

Mailing address

5305 Greenwood Ave
Suite 204
West Palm Beach, FL 33407-2451
Phone (561) 832-8886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1285705145",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASHAK",
        "first_name": "GERALD",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0057975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.