DR. T GAIL STARK DPM NPI 1750460341

NPI Information

NPI: 1750460341
Provider Name: DR. T GAIL STARK, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

Address:
11739 CHANTICLEER DR
PENSACOLA, FL
ZIP 32507
Phone: (850) 982-2625
Get Directions

DR. T Gail Stark, DPM is a primary podiatric medicine podiatrist in Pensacola, FL. DR. T Gail Stark, DPM NPI is 1750460341. 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:

11739 CHANTICLEER DR
PENSACOLA, FL
ZIP 32507-150
Phone: (850) 982-2625

The enumeration date for this NPI number is 11/3/2006 and was last updated on 5/10/2012.

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
1	213E00000X	Podiatrist		PO2420	FLORIDA	No
2	213E00000X	Podiatrist		160	ALABAMA	No
3	213EP1101X	Podiatrist	Primary Podiatric Medicine	160	ALABAMA	No
4	213ER0200X	Podiatrist	Radiology	PO2420	FLORIDA	No
5	213ER0200X	Podiatrist	Radiology	160	ALABAMA	No
6	213ES0000X	Podiatrist	Sports Medicine	PO2420	FLORIDA	No
7	213ES0000X	Podiatrist	Sports Medicine	160	ALABAMA	No
8	213ES0131X	Podiatrist	Foot Surgery	PO2420	FLORIDA	No
9	213ES0131X	Podiatrist	Foot Surgery	160	ALABAMA	No
10	213EP1101X	Podiatrist	Primary Podiatric Medicine	PO2420	FLORIDA	Yes

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
1	390273100	MEDICAID	FLORIDA
2	65342	MEDICARE PIN	FLORIDA
3	4674610001	MEDICARE NSC	FLORIDA
4	U39544	MEDICARE UPIN	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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