NPIMap

Organization Active NPI

P. Stark Enterprises, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Columbia, TN
National Provider Identifier
1154371995
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000405 Issued in TN
Legal business name
P. STARK ENTERPRISES, INC.
Practice address
1100 Hatcher LN
Columbia, TN 38401-3530
Phone
(931) 388-3766
NPI assigned
May 11, 2006
Organization subpart
Yes
Parent organization
P. STARK ENTERPRISES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Mr. Preston A Stark
Title
Owner
Phone
(931) 388-3766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0000000405 TN Primary

Addresses

Primary practice location

1100 Hatcher LN
Columbia, TN 38401-3530

Mailing address

1100 Hatcher LN
Columbia, TN 38401-3530
Phone (931) 388-3766

Other identifiers 1

IdentifierTypeStateIssuer
1454165MedicaidTN

Other names 1

  • ProTech Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
P Stark Enterprises Inc2 organizations share this tax ID, including this one
Part of
P Stark Enterprises Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1154371995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013530",
            "telephone_number": "931-388-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013530",
            "telephone_number": "931-388-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. STARK ENTERPRISES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "P. STARK ENTERPRISES, INC.",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-388-3766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000000405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454165",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProTech Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.