Lake Park Podiatry

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

LAKE PARK PODIATRY

Practice address

701 Park Ave
Lake Park, FL 33403-2503

Phone

(561) 294-6886

Fax

(561) 627-2199

NPI assigned

Apr 6, 2023

Last updated

Apr 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Henry Kay Stark, DPMNPI 1376505404

Title

Podiatrist

Phone

(561) 284-6886

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Henry Kay Stark, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lake Park, FL
  • NPI 1376505404
  NPD Authorized official

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1952096950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032503",
            "telephone_number": "561-294-6886",
            "fax_number": "561-627-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032503",
            "telephone_number": "561-294-6886",
            "fax_number": "561-627-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PARK PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "561-284-6886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinsey's Home Health
• Kinseys IV Resources, LLC.
• Edu Anthony Kirindongo, MD
• Jerry William Krape, DDS
• Lake Park Medical Care Center Inc
• Lake Park SNF LLC
• Lake Park SNF LLC (North Lake Rehabilitation and Health Center)
• Let Lizz DO It (El El De I Extensions)
• Ginou Louidor, ARNP
• Love for Childhood Behavioral Services Inc

• Foot & Ankle Surgery Podiatrist in Lake Park, FL
• Providers in Lake Park, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.