JOHN B. STARK MD – NPI #1922087618
Orthopaedic Surgery

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

JOHN STARK is an orthopaedic surgeon located in SAINT AUGUSTINE, FL. NPPES has assigned the NPI number 1922087618 to JOHN STARK on January 11, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207XS0106X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Hand Surgery

The NPI profile was previously updated about 7 years ago on Jul 08, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN STARK below.

NPI Profile for
JOHN B. STARK

NPI Number
1922087618
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN B. STARK
Credentials
MD
Primary location
ONE ORTHOPAEDIC PLACE
SAINT AUGUSTINE, FL 32086-4202
Phone: (904) 825-0540 Fax: (904) 209-1055
Mailing address
316 VIEW POINT PL
ST AUGUSTINE, FL 32080-6151
Phone: (904) 825-0540 Fax: (904) 209-1055
Sole Proprietor
No
Updated
Identifiers

Identifiers for JOHN STARK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDMERCFL1174540001
OTHERDMERC CIGNA GOUT SVCSFL1174540001
MEDICAIDIL036112556
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XS0106X
- Orthopaedic Surgery / Hand Surgery (Primary)
FL ME96534
207X00000X
- Orthopaedic Surgery
FL ME96534

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.