Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeffrey L Stark, PA-C

Individual provider Surgical Physician Assistant · NPI 1356303630

Mr. Jeffrey L Stark, PA-C is a Surgical Physician Assistant in Randallstown, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone: (410) 521-2200
Fax: (410) 922-6031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence C00511 (MD)

Record details

NPI number1356303630
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 4, 2006
Last updated in NPPESNovember 29, 2007

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