Heather Stark, MD
Individual provider Active NPI Family Medicine Physician · Onley, VA
NPI 1003894262 · NPPES record last updated Aug 28, 2012
Key facts
- NPI
- 1003894262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101050794 (VA)
- Practice address
- 20306 Badger Lane
Onley, VA 23418 - Phone
- (757) 787-7374
- Fax
- (757) 787-4513
- NPI assigned
- Jan 6, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101050794 | VA | Yes |
Addresses
Primary practice location
20306 Badger Lane
Onley, VA 23418
Mailing address
20306 Badger Lane
Onley, VA 23418
Phone (757) 787-7374
Other providers in Onley, VA
- Ann Schlaefer
- Jean Sellard
- Spencer Grissom Shelley
- Robert L Simpson
- Carolyn Sparrow
- Margaret M Stiles
- Malena M Taylor
- Ti Home Health, Inc
- Beverly Turner
- Virginia CVS Pharmacy, L.L.C.
All providers in Onley, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.