Maureen Ann Stark, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036387 Issued in OH

Practice address

115 A Commerce Park Dr
Westerville, OH 43082-8349

Phone

(614) 523-3918

Fax

(614) 523-3900

NPI assigned

Jan 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 31, 2013 through Dec 31, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Columbia Counseling Consulting and Research LLC

  • Clinical Social Worker
  • Westerville, OH
  • NPI 1174648018
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538219332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 A COMMERCE PARK DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828349",
            "telephone_number": "614-523-3918",
            "fax_number": "614-523-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 A COMMERCE PARK DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828349",
            "telephone_number": "614-523-3918",
            "fax_number": "614-523-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "036387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Stanard, MA, CCC-SLP
• Robin G Stanko, MD
• Kathryn Stanley
• Star Internal Medicine LLC
• Cheyenne Stark
• Kelly Stasiulewicz
• Chelsea Staton
• Heidi A Stauffer, DDS
• Suzanne Stawicki, OTR/L
• Staying Home Longer

• Psychiatry Physician in Westerville, OH
• Providers in Westerville, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.