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: July 19, 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.

Ophthalmology
825 NICOLLET MALL, STE 2000
MINNEAPOLIS, MN 55402
Dentist
825 NICOLLET MALL
MINNEAPOLIS, MN 55402
Ophthalmology
825 NICOLLET MALL, STE 2000
MINNEAPOLIS, MN 55402
Ophthalmology
825 NICOLLET MALL, STE 2000
MINNEAPOLIS, MN 55402
Ophthalmology
825 NICOLLET MALL, STE 2000
MINNEAPOLIS, MN 55402
Chiropractor
825 NICOLLET MALL, STE 1845
MINNEAPOLIS, MN 55402
Ophthalmology
825 NICOLLET MALL, STE 2000
MINNEAPOLIS, MN 55402
Psychologist
825 NICOLLET MALL, SUITE 612
MINNEAPOLIS, MN 55402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306816996, enumerated as an "individual" on January 25, 2006.

The provider is located at 825 NICOLLET MALL SUITE 715 MINNEAPOLIS, MN 55402 and the phone number is (612) 332-2324.

Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.