Douglas G Starley, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

566 Issued in NV

Practice address

3160 Vista Blvd
Sparks, NV 89436-6703

Phone

(775) 352-7200

Fax

(775) 352-7222

NPI assigned

Dec 28, 2005

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain West Derm - Blackhart PLLCGroup PAC ID 1153609813, 103 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Mountain West Derm - Blackhart PLLC

  • MOHS-Micrographic Surgery Physician
  • Reno, NV
  • NPI 1740633015
  Medicare reassignment Care Compare group NPD
• Skin Cancer and Dermatology Institute

  • MOHS-Micrographic Surgery Physician
  • Carson City, NV
  • NPI 1003905001
  NPD
• Mountain West Derm-Blackhart, PLLC

  • Dermatology Physician
  • Tigard, OR
  • NPI 1316656994
  NPD
• Jay C. Chamberlain, M.D., Inc.

  • Family Medicine Physician
  • Sparks, NV
  • NPI 1730218553
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1194702571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 VISTA BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894366703",
            "telephone_number": "775-352-7200",
            "fax_number": "775-352-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 VISTA BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894366703",
            "telephone_number": "775-352-7200",
            "fax_number": "775-352-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARLEY",
        "first_name": "DOUGLAS",
        "middle_name": "G",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002416070",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Stamps
• Glenward M Standridge
• Pamela Standridge
• Maria Arrate Stanley, O.D.
• Christopher Stanton, MD
• Jonathan Starley, DMD
• State of Nevada (Northern Nevada Adult Mental Health Services)
• State of Nevada (Northern Nevada Adult Mental Health Services)
• State of Nevada (Northern Nevada Adult Mental Health Services)
• State of Nevada (State of Nevada, DHHS, Division of Child and Family Services)

• Physician Assistant in Sparks, NV
• Providers in Sparks, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.