John G. Stark M.D.P.a.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

23369 Issued in MN

Legal business name

JOHN G. STARK M.D.P.A.

Doing business as

Stark Specialty Orthopaedics, Stark Clinic

Practice address

825 Nicollet Mall Ste 715
Minneapolis, MN 55402-2613

Phone

(612) 332-2324

Fax

(612) 332-1019

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John G Stark, M.D.

Title

Owner

Phone

(612) 332-2324

Specialties & licenses 1

Addresses

Other names 1

• Stark Specialty Orthopaedics, Stark Clinic Doing business as

Locations

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1780863316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 715",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022613",
            "telephone_number": "612-332-2324",
            "fax_number": "612-332-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 715",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022613",
            "telephone_number": "612-332-2324",
            "fax_number": "612-332-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G. STARK M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-332-2324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MN",
            "license": "23369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stark Specialty Orthopaedics, Stark Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirsten Lee Johansen, MD
• Julieanne Ball Johanson, MD
• John a. Haugen Associates, P.a.
• John Bergman, M.D. LTD
• John F O'Leary MD PA
• John N. O'Neil, PH.D., L.P., LLC
• Andrew Lyle John, PSYD, LP
• Dona Mary John
• Florence John, M.D.
• Litty John, MBBS

• Orthopaedic Surgery of the Spine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Orthopaedic Surgery of the Spine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.