- Practice location
- 104 Pension Ridge RD, Boothbay, ME 04537-4810
- Phone
- 201-294-5672
- Fax
- —
- Last updated
- August 23, 2021
Jill Stark is a Podiatrist based in Boothbay, ME. Jill Stark practices in Boothbay, ME and has the professional credentials of DPM. The NPI Number for Jill Stark is 1336816917 and holds a License No. 006857 (NY). The current practice location address for Jill Stark is 104 Pension Ridge RD, Boothbay, ME 04537-4810 and can be reached out via phone at 201-294-5672.
Provider Profile Details
- NPI Number
- 1336816917
- Provider Name
- Jill Stark
- Credential
- DPM
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 104 Pension Ridge RD, Boothbay, ME 04537-4810
- Phone Number
- 201-294-5672
- Primary Taxonomy
- Podiatrist · 213E00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 23, 2021
- Last Update Date
- August 23, 2021
- Certification Date
- August 23, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 104 Pension Ridge RD
Boothbay, ME 04537-4810 - City
- Boothbay
- State
- Maine
- Zip
- 04537-4810
- Phone Number
- 201-294-5672
Provider Business Mailing Address Details
- Address
- 104 Pension Ridge RD
Boothbay, ME 04537-4810 - City
- Boothbay
- State
- ME
- Zip
- 04537-4810
- Phone Number
- 201-294-5672
License Information
- License Number
- 006857
- License State
- NY
- Taxonomy
- Podiatrist · 213E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jill Stark, DPM?
The NPI number of Jill Stark, DPM is 1336816917. It was assigned on August 23, 2021 and is currently active in the NPPES registry.
What is the specialty of Jill Stark, DPM?
Jill Stark, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NY under license number 006857.
Where does Jill Stark, DPM practice?
The practice location is 104 Pension Ridge RD, Boothbay, ME 04537-4810. The office can be reached at 201-294-5672 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336816917 directly on the NPPES registry website.