Stark Medical Group PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

079043254N1 Issued in OR

Legal business name

STARK MEDICAL GROUP PC

Practice address

932 W Idaho Ave Ste 100
Ontario, OR 97914-2155

Phone

(541) 889-2244

Fax

(541) 889-2626

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Brenda L Stark

Title

Office Manager

Phone

(541) 889-2244

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Beth Chandler, DNP

  • Gerontology Nurse Practitioner
  • Ontario, OR
  • NPI 1720144793
  Medicare reassignment Care Compare group NPD
• Morris H Smith, MD

  • Internal Medicine Physician
  • Ontario, OR
  • NPI 1487611877

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Jody A. Stark, NP

  • Family Nurse Practitioner
  • Ontario, OR
  • NPI 1851472989
  Medicare reassignment Care Compare group NPD
• Mary Kathryn Stark, RN, MS, FNP, DNP

  • Family Nurse Practitioner
  • Eugene, OR
  • NPI 1871629055
  Medicare reassignment NPD
• Rieneke D White, FNP-BC, CNM

  • Family Nurse Practitioner
  • Ontario, OR
  • NPI 1851649933
  Medicare reassignment

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1063754208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX J",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979140020",
            "telephone_number": "541-889-2244",
            "fax_number": "541-889-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 W IDAHO AVE STE 100",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142155",
            "telephone_number": "541-889-2244",
            "fax_number": "541-889-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 SW 4th Ave",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OR",
            "postal_code": "97914",
            "country_code": "US",
            "telephone_number": "541-889-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STARK MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-889-2244"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "079043254N1",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200550081NP",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Beatrice Springer, RPH
• Sprinter Services
• Sprinter Shuttle Service Inc
• St Alphonsus Professional Medical Services LLC
• Star Center
• Stark Medical, PC
• Jody A. Stark, NP
• Deborah Starr Lake, DDS
• David Rood Starr, PH.D.
• Frederick R Starr, CRNA

• Family Nurse Practitioner in Ontario, OR
• Providers in Ontario, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.