ANN STARK MD NPI 1073693412

NPI Information

  • NPI: 1073693412
  • Provider Name: ANN STARK, MD
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Individual
  • Address: 330 BROOKLINE AVE # ROSE3
    BOSTON, MA
    ZIP 02215
  • Phone: (617) 667-3276

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NPI Details

Ann Stark, MD is a neonatal-perinatal medicine pediatrics in Boston, MA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Ann Stark, MD NPI is 1073693412. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

330 BROOKLINE AVE # ROSE3
BOSTON, MA
ZIP 02215
Phone: (617) 667-3276
Fax: (617) 667-7040

The enumeration date for this NPI number is 10/17/2006 and was last updated on 9/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080N0001XPediatricsNeonatal-Perinatal MedicineL8964TEXASNo
22080N0001XPediatricsNeonatal-Perinatal MedicineMD47955TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1164973301MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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