NPIMap

Organization Active NPI

Patricia K Stark

  • Hearing Instrument Specialist
  • Clinton, IA
National Provider Identifier
1306077490
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
0033 Issued in IL
Legal business name
PATRICIA K STARK
Practice address
206 4TH Ave S
Clinton, IA 52732-4311
Phone
(563) 242-7852
Fax
(563) 242-0452
NPI assigned
Aug 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Patricia K Stark, NBC-HIS
Title
Owner
Phone
(563) 242-7852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 0033 IL Primary

Addresses

Primary practice location

206 4TH Ave S
Clinton, IA 52732-4311

Mailing address

1601 52ND Ave
Suite 6
Moline, IL 61265-6389
Phone (309) 762-6467

Other names 1

  • Killean Audiology & Hearing Aid Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Killean Audiology Hearing Aid Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1306077490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 52ND AVE",
            "address_2": "SUITE 6",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656389",
            "telephone_number": "309-762-6467",
            "fax_number": "309-762-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 4TH AVE S",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324311",
            "telephone_number": "563-242-7852",
            "fax_number": "563-242-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA K STARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-242-7852",
        "authorized_official_credential": "NBC-HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "0033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Killean Audiology & Hearing Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.