NPIMap

Organization Active NPI

Larry D. Stark, D.O., P.C.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1073851481
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1754 Issued in AZ
Legal business name
LARRY D. STARK, D.O., P.C.
Practice address
3201 W Peoria Ave
#A100
Phoenix, AZ 85029-4608
Phone
(602) 866-1501
Fax
(602) 866-2216
NPI assigned
Jan 18, 2013
Last updated
Mar 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dr. Larry D Stark, DONPI 1205842291
Title
Physician
Phone
(602) 866-1501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1754 AZ Primary

Addresses

Primary practice location

3201 W Peoria Ave
#A100
Phoenix, AZ 85029-4608

Mailing address

3201 W Peoria Ave
#A100
Phoenix, AZ 85029-4608
Phone (602) 866-1501

National Provider Directory

National Provider Directory

Locations

3201 W Peoria Ave
Ste A10
Phoenix, AZ 85029
Phone (602) 866-1501

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1073851481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE",
            "address_2": "#A100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294608",
            "telephone_number": "602-866-1501",
            "fax_number": "602-866-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE",
            "address_2": "#A100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294608",
            "telephone_number": "602-866-1501",
            "fax_number": "602-866-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY D. STARK, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "602-866-1501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.