DR. T GAIL STARK DPM
NPI 1750460341
Podiatrist - Primary Podiatric Medicine in Pensacola, FL

Active since November 03, 2006
11739 CHANTICLEER DR, PENSACOLA, FL 32507(850) 982-2625 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. T Gail Stark Dpm NPPES

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

DR. T GAIL STARK DPM (NPI 1750460341) is an individual primary podiatric medicine provider in Pensacola, Florida, licensed in Florida (PO2420) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1750460341
Entity TypeIndividualFemale
Primary Taxonomy213EP1101X
Provider Legal NameDR. T GAIL STARKCredential: DPM
Location Address11739 CHANTICLEER DRPensacola, FL 32507-4150
Mailing AddressPo Box 34150Pensacola, FL 32507-4150 · (850) 982-2625
Sole ProprietorYes
Enumeration DateNovember 3, 2006
Last NPPES UpdateMay 10, 2012
NPI 1750460341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
Licenses Licensed in FL · PO2420 Licensed in AL · 160
Also ListedPodiatristTaxonomy 213E00000X · License PO2420 (FL), 160 (AL)
Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X · License PO2420 (FL), 160 (AL)
Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X · License PO2420 (FL), 160 (AL)
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License PO2420 (FL), 160 (AL)
11739 CHANTICLEER DR, Pensacola, FL 32507

Other Names 1

Other Name (5)Dr. Teressa Gail Stark Dpm

Other Identifiers 4

Medicaid390273100FL
Medicare PIN65342FL
Medicare NSC4674610001FL
Medicare UPINU39544FL

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 T Stark's NPI number?

The NPI number for T Stark is 1750460341. It was assigned to this individual provider in the NPPES registry on November 3, 2006. The provider is also known as Dr. Teressa Gail Stark Dpm.

Where is T Stark located?

T Stark practices at 11739 Chanticleer Dr, Pensacola, FL 32507. The listed phone number is (850) 982-2625.

What is T Stark's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for T Stark was last updated on May 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.