Stark Medical, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

STARK MEDICAL, PC

Practice address

932 W Idaho Ave Ste 100
Ontario, OR 97914-2155

Phone

(541) 889-2244

Fax

(541) 889-2626

NPI assigned

Jun 10, 2008

Last updated

Jun 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda L Stark, BS/BM

Title

Office Administrator

Phone

(541) 889-2244

Specialties & licenses 7

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jody A. Stark, NP

  • Family Nurse Practitioner
  • Ontario, OR
  • NPI 1851472989
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1316107782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX J",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979140020",
            "telephone_number": "541-889-2244",
            "fax_number": "541-889-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 W IDAHO AVE STE 100",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142155",
            "telephone_number": "541-889-2244",
            "fax_number": "541-889-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "541-889-2244",
        "authorized_official_credential": "BS/BM"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sprinter Services
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• St Alphonsus Professional Medical Services LLC
• Star Center
• Stark Medical Group PC
• Jody A. Stark, NP
• Deborah Starr Lake, DDS
• David Rood Starr, PH.D.
• Frederick R Starr, CRNA
• Suzanne Elizabeth Steele

• Internal Medicine Physician in Ontario, OR
• Providers in Ontario, OR by specialty
• Internal Medicine Physician in Oregon

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