Starks MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3297 Issued in AK

Legal business name

STARKS MD LLC

Practice address

1919 Lathrop St
Ste 204
Fairbanks, AK 99701-5937

Phone

(907) 452-4822

Fax

(907) 452-4824

NPI assigned

Apr 9, 2013

Organization subpart

No

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

Authorized official

Name

Kenneth C Starks, M.D.

Title

President

Phone

(907) 452-4822

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Andrew Joseph Holland, PAC

  • Physician Assistant
  • Clear, AK
  • NPI 1134117922
  NPD (past)

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1104269216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 OLD STEESE HWY",
            "address_2": "STE B314 PMB#",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013131",
            "telephone_number": "907-452-4822",
            "fax_number": "907-452-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "STE 204",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015937",
            "telephone_number": "907-452-4822",
            "fax_number": "907-452-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-452-4822",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Stamm
• John Casimir Stankiewicz V
• Stanton Counseling LLC
• Susan E Stanton, PLC
• Andrew Edward Stanya, D.D.S., M.S.
• Jonathan R. Starr, M.D.
• Leona Jolene Starr
• Kathryn Elizabeth Steer, MPAS PA-C
• Steese Immediate Care
• Steese Orthopaedic Associates, LLC

• Internal Medicine Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Internal Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.