JANE M STARK MD NPI 1780785253

NPI Information

  • NPI: 1780785253
  • Provider Name: JANE M STARK, MD
  • Classification: Preventive Medicine - 2083X0100X
  • Specialization: Occupational Medicine
  • Entity Type: Individual
  • Address: 2414 KOHLER MEMORIAL DR
    SHEBOYGAN, WI
    ZIP 53081
  • Phone: (920) 457-4461

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NPI Details

Jane M Stark, MD is an occupational medicine preventive medicine in Sheboygan, WI. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. Jane M Stark, MD NPI is 1780785253. 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:

2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI
ZIP 53081-129
Phone: (920) 457-4461

The enumeration date for this NPI number is 9/26/2006 and was last updated on 11/24/2021.

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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine30562WISCONSINNo
22083P0901XPreventive MedicinePublic Health & General Preventive Medicine30562-20WISCONSINNo
32083X0100XPreventive MedicineOccupational Medicine30562-20WISCONSINYes

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
11780785253MEDICAIDWISCONSIN

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: 11/21/2025

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