NPIMap

Individual provider Active NPI

Richard Rey Stark, M.D.

  • Internal Medicine Physician
  • Boone, NC
National Provider Identifier
1023104049
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201401692 Issued in NC
Practice address
148 Highway 105 Ext
Suite 104
Boone, NC 28607-5681
Phone
(828) 386-2746
Fax
(828) 386-2750
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 038104 GA
Internal Medicine Physician 207R00000X 201401692 NC Primary

Addresses

Primary practice location

148 Highway 105 Ext
Suite 104
Boone, NC 28607-5681

Mailing address

148 Hwy 105
Suite 104
Boone, NC 28607
Phone (828) 386-2746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730013349 NC Practitioner - Internal Medicine 7517083447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appalachian Regional Medical Associates IncGroup PAC ID 5799877817, 147 clinicians

Practice addresses (Care Compare)

166 Doctors Dr
B
Boone, NC 28607-5000
Phone (828) 263-5506

194 Doctors Dr
Boone, NC 28607-5000
Phone (828) 386-2200

211 Milton Brown Heirs Rd
Boone, NC 28607-8708
Phone (828) 265-2159

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
038104GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Medical Associates, Inc. Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients

Locations

148 Highway 105 Ext
Ste 104
Boone, NC 28607
Phone (828) 386-2746

194 Doctors Dr
Boone, NC 28607
Phone (828) 264-1100

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

Interoperability endpoints

  • Direct secure messaging: richardstark@arhs.allscriptsdirect.net
  • Direct secure messaging: rstark213345@direct.unc.nchie.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1023104049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 HWY 105",
            "address_2": "SUITE 104",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "28607",
            "telephone_number": "828-386-2746",
            "fax_number": "828-386-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 HIGHWAY 105 EXT",
            "address_2": "SUITE 104",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075681",
            "telephone_number": "828-386-2746",
            "fax_number": "828-386-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "RICHARD",
        "middle_name": "REY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "038104",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "201401692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.