Active NPI
Brian Alan Stark, CRNA
- Certified Registered Nurse Anesthetist
- Halethorpe, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R083302
- Practice address
- 5604 Friendship Rd
Halethorpe, MD 21227 - Phone
- (410) 242-8728
- Fax
- (410) 242-8728
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R083302 | MD | Primary |
Addresses
Primary practice location
5604 Friendship Rd
Halethorpe, MD 21227
Mailing address
5604 Friendship Rd
Halethorpe, MD 21227
Phone (410) 242-8728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebridge Community Gastroenterology, LLC | Current | Accepting new patients | |
| Dr Wendy Kloesz, M.D., P.a | Current | Accepting new patients | |
| Pikesville MD Endoscopy ASC LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia Maryland LLC | Past | Accepting new patients | |
| Capital Anesthesia Partners, LLC | Past | Accepting new patients | |
| Warren H Macleod C R N a PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Rest Assured, P.a. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Endocentre at Quarterfield Station | Past | Accepting new patients |
Locations
7704 Quarterfield Rd
Ste A
Glen Burnie, MD 21061
Phone (410) 863-4899
23 Crossroads Dr
Ste 100
Owings Mills, MD 21117
Phone (410) 356-0300
1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
Organizations & group practices 8
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.
-
- Gastroenterology Physician
- Pikesville, MD
- NPI 1033558416
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1144472887
-
- Ambulatory Surgical Clinic/Center
- Baltimore, MD
- NPI 1043497019
-
- Anesthesiology Physician
- Chevy Chase, MD
- NPI 1265715692
-
- Endoscopy Clinic/Center
- Glen Burnie, MD
- NPI 1396798930
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
- Certified Registered Nurse Anesthetist
- Woodstock, MD
- NPI 1679679013
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Towson, MD
- NPI 1457433591
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1093745093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 FRIENDSHIP RD",
"city": "HALETHORPE",
"state": "MD",
"postal_code": "21227",
"telephone_number": "410-242-8728",
"fax_number": "410-242-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 FRIENDSHIP RD",
"city": "HALETHORPE",
"state": "MD",
"postal_code": "21227",
"telephone_number": "410-242-8728",
"fax_number": "410-242-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "BRIAN",
"middle_name": "ALAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R083302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Halethorpe, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.