ROBERT T STARK MD,PC
NPI 1053342774
Preferred Provider Organization in Waycross, GA

Q: What is Robert T Stark Md,pc's NPI number?

The NPI number for Robert T Stark Md,pc is 1053342774. It was assigned to this organization in the NPPES registry on July 5, 2006.

Q: What is Robert T Stark Md,pc's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since July 05, 2006

2005 PIONEER ST STE A, WAYCROSS, GA 31501(912) 287-1621(912) 287-1817 Get Directions Write a Review

NPPES record last updated: October 1, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Robert T Stark Md,pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT T STARK MD,PC (NPI 1053342774) is a healthcare organization registered as a preferred provider organization in Waycross, Georgia and active in the NPI registry since July 2006. The organization lists Robert Timothy Stark, Physician, as its authorized official.

NPPES Registry Identity

NPI1053342774

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameROBERT T STARK MD,PC

Location Address2005 PIONEER ST STE AWaycross, GA 31501-6205

Mailing Address2005 Pioneer St Ste AWaycross, GA 31501-6205 · (912) 287-1621 · Fax (912) 287-1817

Phone(912) 287-1621

Fax(912) 287-1817

Organization SubpartNo

Authorized OfficialRobert Timothy StarkPhysician · (912) 287-1621

Enumeration DateJuly 5, 2006

Last NPPES UpdateOctober 1, 2010

✔ NPI 1053342774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

License✔ Licensed in GA · 045632

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

2005 PIONEER ST STE A, Waycross, GA 31501

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert T Stark Md,pc's NPI number?

The NPI number for Robert T Stark Md,pc is 1053342774. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Robert T Stark Md,pc located?

Robert T Stark Md,pc is located at 2005 Pioneer St Ste A, Waycross, GA 31501. The listed phone number is (912) 287-1621.

What is Robert T Stark Md,pc's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Robert T Stark Md,pc was last updated on October 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.