John Starling III, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

54120-020 Issued in WI

Practice address

2600 N Mayfair Rd Ste 810
Milwaukee, WI 53226-1328

Phone

(414) 771-1122

Fax

(414) 771-1352

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 5

Medicare fee-for-service enrollment

Enrolled in TN

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

Dermatology

Education

University of Tennessee, HSC, College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stones River Dermatology PLCGroup PAC ID 9436346293, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EABBBA
• Direct secure messaging: john.starling@forefrontdermatology.emadirect.md

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.

• Stones River Dermatology PLC

  • Dermatology Physician
  • Murfreesboro, TN
  • NPI 1609178102
  Medicare reassignment Care Compare group NPD
• Advanced Sleep Consultants of Middle TN, Inc

  • Medical Specialty Clinic/Center
  • Lebanon, TN
  • NPI 1912048307
  NPD (past)
• Skin Cancer Center Inc

  • Ambulatory Surgical Clinic/Center
  • Cincinnati, OH
  • NPI 1871526004
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1487773206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-683-5278",
            "fax_number": "920-686-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 810",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261328",
            "telephone_number": "414-771-1122",
            "fax_number": "414-771-1352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Pabst Farms Cir Unit 180",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530664878",
            "country_code": "US",
            "telephone_number": "262-560-0322",
            "fax_number": "262-560-0379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501A Vern Holmes Dr",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544829791",
            "country_code": "US",
            "telephone_number": "715-344-0172",
            "fax_number": "715-344-3684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10500 W Loomis Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531328030",
            "country_code": "US",
            "telephone_number": "262-898-4400",
            "fax_number": "414-858-9104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7040 N Port Washington Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532173885",
            "country_code": "US",
            "telephone_number": "414-355-2405",
            "fax_number": "414-355-6460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARLING",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WI",
            "license": "54120-020",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "54120-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.starling.p1@direct.forefrontderm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "7040 N Port Washington Rd Ste 404",
            "city": "Glendale",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532173885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.starling.p1@direct.forefrontderm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "10500 W Loomis Rd Ste 110",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531328030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.starling.p1@direct.forefrontderm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1320 Pabst Farms Cir Unit 180",
            "city": "Oconomowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530664878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.starling.p1@direct.forefrontderm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2600 N Mayfair Rd Ste 810",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532261328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.starling.p1@direct.forefrontderm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "5501A Vern Holmes Dr",
            "city": "Stevens Point",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544829791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gary Jay Stark, PHD
• Rebekah Rose Stark
• Ron H Stark, M.D.
• Mary Starke, MS CCC-SLP
• Starlight Transit LLC
• Starpoint Transportation LLC
• Starting Point, Inc.
• Amy Stasik, MD, MS
• Mara Stasik, PA-C
• Megan Stasik

• Dermatology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.