John B Stark, MD

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

ME96534 Issued in FL

Practice address

One Orthopaedic Place
St. Augustine, FL 32086-4202

Phone

(904) 825-0540

Fax

(904) 209-1055

NPI assigned

Jan 11, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Orthopaedic Center of Il

  • Orthopaedic Surgery Physician
  • Springfield, IL
  • NPI 1154300572
  NPD (past)
• Orthopaedic Center of Illinois

  • Durable Medical Equipment & Medical Supplies
  • Springfield, IL
  • NPI 1144372798
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1922087618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 VIEW POINT PL",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806151",
            "telephone_number": "904-825-0540",
            "fax_number": "904-209-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE ORTHOPAEDIC PLACE",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "320864202",
            "telephone_number": "904-825-0540",
            "fax_number": "904-209-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME96534",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME96534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036112556",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC CIGNA GOUT SVCS",
            "identifier": "1174540001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1174540001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elena Stanescu, MD
• Stefan L Stanescu, MD
• Stanley a Cohen DO PA
• Byron Layne Stapleton, DO
• Robert Edward Stapleton, DO
• Chanel Grace Starke, APRN
• Stat Medical Office Services Inc
• Brooke Solano Staubus, BCBA
• Andrea Stayton, MS, BCBA
• Joshua L Stayton

• Orthopaedic Hand Surgery Physician in St. Augustine, FL
• Providers in St. Augustine, FL by specialty
• Orthopaedic Hand Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.