Robert T Stark Md,Pc in Waycross - Preferred Provider Organization
Robert T Stark Md,Pc - NPI 1053342774
Robert T Stark Md,Pc is a Preferred Provider Organization in Waycross, Georgia. Robert T Stark Md,Pc practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Robert T Stark Md,Pc is 1053342774. The last update date is 2010-10-01.
Robert T Stark Md,Pc's current location address is 2005 Pioneer St Ste A, Waycross, Georgia. You can contact this provider via phone number 9122871621 and fax number 9122871817. The mailing address for Robert T Stark Md,Pc is 2005 Pioneer St Ste A, Waycross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert T Stark Md,Pc |
|---|---|
| Address | 2005 Pioneer St Ste A, Waycross, Georgia |
| Phone Number | 9122871621 |
| Fax Number | 9122871817 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Stark Timothy Robert |
| Credentials | M.D. |
| Telephone Number | 9122871621 |
NPI Number Detail
| NPI Number | 1053342774 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2010-10-01 |
Provider Mailing Address Detail
| Address | 2005 Pioneer St Ste A |
|---|---|
| City | Waycross |
| State | Georgia (GA) |
| Post Code | 315016205 |
| Phone Number | 9122871621 |
| Fax Number | 9122871817 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | 45632 |
|
Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
|
Post Comment/ Review Below
What is the Robert T Stark Md,Pc's 1053342774?
The Robert T Stark Md,Pc's NPI (National Provider Identifier) Number is 1053342774. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Robert T Stark Md,Pc?
The Robert T Stark Md,Pc is situated at 2005 Pioneer St Ste A, in the city of Waycross, state of GA, with the zip code 315016205.
What is Robert T Stark Md,Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert T Stark Md,Pc's specialized field of practice is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 305R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053342774 to Robert T Stark Md,Pc?
The Robert T Stark Md,Pc received its 1053342774 assignment from the Centers for Medicare & Medicaid Services on 2006-07-05.
As of what date were the details related to Robert T Stark Md,Pc most recently updated or revised?
The information pertaining to Robert T Stark Md,Pc, including its address, specialty, and other relevant details, was last updated or revised on 2010-10-01.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH