Travis Jack Stark, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103301505 Issued in VA

Practice address

9010 Lorton Station Blvd Ste 270
Lorton, VA 22079-4798

Phone

(540) 898-6500

Fax

(540) 834-0363

NPI assigned

Jun 20, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bio Family Clinic IncGroup PAC ID 2769668136, 37 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bio Family Clinic Inc

  • Family Medicine Physician
  • Yuma, AZ
  • NPI 1821387051

  Podiatrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1487949384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662329",
            "telephone_number": "928-247-6516",
            "fax_number": "928-366-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD STE 270",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794798",
            "telephone_number": "540-898-6500",
            "fax_number": "540-834-0363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9010 Lorton Station Blvd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Lorton",
            "state": "VA",
            "postal_code": "220794798",
            "country_code": "US",
            "telephone_number": "540-898-6500",
            "fax_number": "540-834-0363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10304 Spotsylvania Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224088605",
            "country_code": "US",
            "telephone_number": "540-898-6500",
            "fax_number": "540-834-0363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4103 Lafayette Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224084274",
            "country_code": "US",
            "telephone_number": "540-898-6500",
            "fax_number": "540-834-0363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14085 Crown Ct",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221931458",
            "country_code": "US",
            "telephone_number": "540-898-6500",
            "fax_number": "540-834-0363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "TRAVIS",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sima Soroosh, PHARM, D.
• Michelle Strother Sosa, LCSW
• Renae Joan Soule', PT
• Soulful Care LLC
• Nia Joan Speight
• Stars4Ucollection Inc
• Amanda Lynn Stathos, MS, RD, LD
• Jessica Steinman
• Alison Stern, M.ED.
• Stephen Van Dorn Stone, MD

• Foot & Ankle Surgery Podiatrist in Lorton, VA
• Providers in Lorton, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.