DR. HENRY KAY STARK D.P.M.
NPI 1376505404
Podiatrist - Foot & Ankle Surgery in Lake Park, FL

Q: What is Henry Stark's NPI number?

The NPI number for Henry Stark is 1376505404. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Q: What is Henry Stark's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Henry Stark was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 04, 2006PECOS Enrolled

701 PARK AVE, LAKE PARK, FL 33403(561) 284-6886(561) 627-2199 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Henry Kay Stark D.p.m. NPPES

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

DR. HENRY KAY STARK D.P.M. (NPI 1376505404) is an individual foot & ankle surgery provider in Lake Park, Florida, licensed in Florida (1272) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376505404

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. HENRY KAY STARKCredential: D.P.M.

Location Address701 PARK AVELake Park, FL 33403-2503

Mailing Address701 Park AveLake Park, FL 33403-2503 · (561) 284-6886 · Fax (561) 627-2199

Phone(561) 284-6886

Fax(561) 627-2199

Sole ProprietorNo

Enumeration DateApril 4, 2006

Last NPPES UpdateOctober 14, 2020

NPPES CertifiedOctober 12, 2020

✔ NPI 1376505404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in FL · 1272

701 PARK AVE, Lake Park, FL 33403

Open in Google Maps ↗

Other Identifiers 1

Medicaid029743700FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Henry Kay Stark D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services13 patients

Other Providers at the Same Location NPPES 7

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

DR. KALI ETHEREDGE DPM

Podiatrist