Matthew Steven Stark, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

S5505 Issued in TX

Practice address

36065 Santa Fe Ave
Attn: Residency Center, ER Box 276
Fort Hood, TX 76544-5095

Phone

(254) 553-4614

NPI assigned

May 17, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physician Services of New York, P.C.Group PAC ID 8325939804, 128 clinicians

Nyack Emergency Medical Association PLLCGroup PAC ID 2062411036, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Putnam Hospital Center Hospital, Carmel, NY, CCN 330273
• Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment Care Compare group NPD
• Nyack Emergency Medical Association PLLC

  • Emergency Medicine Physician
  • Nyack, NY
  • NPI 1174627293
  Medicare reassignment Care Compare group NPD
• Brazos Valley Emergency Physicians PA

  • Emergency Medicine Physician
  • Navasota, TX
  • NPI 1982642955
  NPD
• Bryan Emergency Physicians PA

  • Emergency Medicine Physician
  • Bryan, TX
  • NPI 1417995481
  NPD
• Legacy Urgent Care, PA

  • Urgent Care Clinic/Center
  • Frisco, TX
  • NPI 1568622272
  NPD
• Premier Physicians-II, P.a.

  • Urgent Care Clinic/Center
  • Woodway, TX
  • NPI 1801204656
  NPD
• Hudson Vista Physician Services PC

  • Internal Medicine Physician
  • Newburgh, NY
  • NPI 1164749115

  Emergency Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Putnam Hospital Center

  • General Acute Care Hospital
  • Carmel, NY
  • NPI 1972557379
  Care Compare affiliation
• St. Luke'S Cornwall Hospital

  • General Acute Care Hospital
  • Newburgh, NY
  • NPI 1003923434
  Care Compare affiliation

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1417484783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10214 ALAMOSA LN",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023923",
            "telephone_number": "845-549-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "address_2": "ATTN: RESIDENCY CENTER, ER BOX 276",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445095",
            "telephone_number": "254-553-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "MATTHEW",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "328014",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S5505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Sprott, MD
• Deshaun Squires, MS, OT
• Michael E. Stachniak, D.O.
• Cyglenda Evangeline Stafford, LVN
• Travis Stannard, PHD
• Maria Steed
• Rebecca Valerie Stein, PSY.D
• Arik Steinberg, CRNA
• Keith N Steinhurst, MD
• Evelyn Stevens, REGISTERED NURSE

• Emergency Medicine Physician in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.