RON H STARK M.D. NPI 1780655928

NPI Information

NPI: 1780655928
Provider Name: RON H STARK, M.D.
Classification: Surgery - 2086S0105X
Entity Type: Individual

Specialization: Surgery of the Hand

PECOS Registration: Yes

Address:
3077 N MAYFAIR RD
SUITE 306
MILWAUKEE, WI
ZIP 53222
Phone: (414) 258-2323
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Ron H Stark, M.D. is a surgery of the hand surgery in Milwaukee, WI. The provider is a surgeon with expertise 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. Ron H Stark, M.D. NPI is 1780655928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3077 N MAYFAIR RD
SUITE 306
MILWAUKEE, WI
ZIP 53222-305
Phone: (414) 258-2323
Fax: (414) 258-2736

The NPI 1780655928 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 3/7/2023.

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	2086S0105X	Surgery	Surgery of the Hand	22545	WISCONSIN	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	Other Provider Identifier Issuer
1	22545	OTHER	WISCONSIN	MEDICAL LICENSE
2	30741000	MEDICAID	WISCONSIN

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: 4/28/2024

NPI Synchronization or Removal

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