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MR. JEFFREY L STARK PA-C
NPI 1356303630
Physician Assistant - Surgical in Randallstown, MD

Active since April 04, 2006
5401 OLD COURT RD, RANDALLSTOWN, MD 21133(410) 521-2200(410) 922-6031 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jeffrey L Stark Pa-c NPPES

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

MR. JEFFREY L STARK PA-C (NPI 1356303630) is an individual surgical provider in Randallstown, Maryland, licensed in Maryland (C00511) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1356303630
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JEFFREY L STARKCredential: PA-C
Location Address5401 OLD COURT RDRandallstown, MD 21133-5103
Mailing Address5401 Old Court Rd, Attn: CredentialingRandallstown, MD 21133-5103 · (410) 601-5524 · Fax (410) 601-8946
Phone(410) 521-2200
Fax(410) 922-6031
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateNovember 29, 2007
✔ NPI 1356303630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MD · C00511
5401 OLD COURT RD, Randallstown, MD 21133
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINS59564MD
Medicare PINKL33E913MD
Medicare PINKL19265WMD
Medicare PINKL09E914MD

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.

LIFEBRIDGE ANESTHESIA ASSOCIATES, LLC
Anesthesiology
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
ZOENA YANNAKAKIS M.D.
Specialist
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
TONYA M. PEASE CRNA
Nurse Anesthetist, Certified Registered
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 496-7572
MS. SHANNON LYNN WATTS PA-C
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
SCOTT W STROMBERG PA
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
HARAMRIT RAJAN PA-C
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
EMERGENCY MEDICINE ASSOCIATES PA PC
Internal Medicine
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (330) 493-4443
JON A NEWSOME MD
Anesthesiology
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200

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 Jeffrey Stark's NPI number?

The NPI number for Jeffrey Stark is 1356303630. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Jeffrey Stark located?

Jeffrey Stark practices at 5401 Old Court Rd, Randallstown, MD 21133. The listed phone number is (410) 521-2200.

What is Jeffrey Stark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jeffrey Stark was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.