DR. JOHN GREGORY STARK MD
NPI 1306816996
Neuromusculoskeletal Medicine, Sports Medicine in Minneapolis, MN

Active since January 25, 2006
825 NICOLLET MALL, SUITE 715, MINNEAPOLIS, MN 55402(612) 332-2324(612) 332-1019 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Gregory Stark Md NPPES

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

DR. JOHN GREGORY STARK MD (NPI 1306816996) is an individual neuromusculoskeletal medicine, sports medicine provider in Minneapolis, Minnesota, licensed in Minnesota (23369) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1306816996
Entity TypeIndividualMale
Primary Taxonomy204C00000X
Provider Legal NameDR. JOHN GREGORY STARKCredential: MD
Location Address825 NICOLLET MALL, SUITE 715Minneapolis, MN 55402-2595
Mailing Address825 Nicollet Mall, Suite 715Minneapolis, MN 55402-2606 · (612) 332-2324 · Fax (612) 332-1019
Fax(612) 332-1019
Sole ProprietorYes
Enumeration DateJanuary 25, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1306816996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
License Licensed in MN · 23369
Definition
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
825 NICOLLET MALL, Minneapolis, MN 55402

Other Identifiers 3

Medicaid126002200MN
Other09-01240MN · Php/medica
Other23369MN · Minnesota Medical License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
825 NICOLLET MALL, SUITE 1630
MINNEAPOLIS, MN 55402
Dermatology
825 NICOLLET MALL, SUITE 1002
MINNEAPOLIS, MN 55402
Dentist
825 NICOLLET MALL
MINNEAPOLIS, MN 55402
Dentist (General Practice)
825 NICOLLET MALL, 829 MEDICAL ARTS BLDG
MINNEAPOLIS, MN 55402
Podiatrist (Foot Surgery)
825 NICOLLET MALL, SUITE 517 MEDICAL ARTS BLDG
MINNEAPOLIS, MN 55402
Podiatrist
825 NICOLLET MALL, SUITE 601
MINNEAPOLIS, MN 55402
Chiropractor
825 NICOLLET MALL, STE 1845
MINNEAPOLIS, MN 55402
Physical Medicine & Rehabilitation (Pain Medicine)
825 NICOLLET MALL, SUITE #1453
MINNEAPOLIS, MN 55402

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 John Stark's NPI number?

The NPI number for John Stark is 1306816996. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is John Stark located?

John Stark practices at 825 Nicollet Mall Suite 715, Minneapolis, MN 55402. The listed phone number is (612) 332-2324.

What is John Stark's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for John Stark was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.