Carol Lynn Stark, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN224333L Issued in PA

Practice address

1163 Country Club Road
Monongahela, PA 15063-1095

Phone

(724) 258-1000

Fax

(724) 258-1394

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA, FL2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Mon Vale Clinical Professionals, Inc.

  dba Mon-Vale Anesthesia Professionals

  • Anesthesiology Physician
  • Monongahela, PA
  • NPI 1013388271

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Northwood Anesthesia Associates LLC

  • Anesthesiology Physician
  • Venice, FL
  • NPI 1811569197

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mon Vale Clinical Professionals, Inc.

  dba Mon-Vale Hospitalists

  • Hospitalist Physician
  • Monongahela, PA
  • NPI 1740805431
  NPD
• Northwood Anesthesia Associates LLC

  • Anesthesiology Physician
  • Port Charlotte, FL
  • NPI 1699347971

  Nurse Anesthetist, Certified Registered

  NPD
• Northwood Anesthesia Associates LLC

  • Anesthesiology Physician
  • Trinity, FL
  • NPI 1780256073

  Nurse Anesthetist, Certified Registered

  NPD
• Monongahela Valley Hospital, Inc.

  • Psychiatric Hospital Unit
  • Monongahela, PA
  • NPI 1316911142
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1134216021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 COUNTRY CLUB ROAD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631095",
            "telephone_number": "724-258-1000",
            "fax_number": "724-258-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 COUNTRY CLUB ROAD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631095",
            "telephone_number": "724-258-1000",
            "fax_number": "724-258-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN224333L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ST22201",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "220130",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Span & Taylor Drug Co
• Andrea Spano, PHARMD
• Spartan Health Surgicenter LLC
• Jessica R Speer, LCSW
• Andrew L Spergel, MD
• Corey Michael Stefan, CRNP
• Stillwagon Chiropractic
• Ward Sterling Stillwagon, D.C.
• Stone Hearth Home Care LLC
• Daniel Barrett Sturchak, ATC-LAT

• Certified Registered Nurse Anesthetist in Monongahela, PA
• Providers in Monongahela, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.