Blue Oak Clinic PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

BLUE OAK CLINIC PLLC

Practice address

4008 E Pima St
Tucson, AZ 85712-3317

Phone

(520) 322-9355

Fax

(520) 322-9359

NPI assigned

Jun 9, 2022

Last updated

Jun 9, 2022By 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

Dr. Stephanie Stark, NMDNPI 1871520064

Title

Owner

Phone

(520) 322-9355

Specialties & licenses 2

Addresses

Locations

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.

• Stephanie Daisy Stark, N.M.D

  • Naturopath
  • Tucson, AZ
  • NPI 1871520064
  Authorized official Same address or phone

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1366171605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123317",
            "telephone_number": "520-322-9355",
            "fax_number": "520-322-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123317",
            "telephone_number": "520-322-9355",
            "fax_number": "520-322-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE OAK CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-322-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NMD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Blount, M.D.
• Mark Blubaugh
• Aleksandar Cody Blubaum, MD
• Steven Tyler Bluder, PHARMD
• Blue Giraffe LLC (Lifestyle Hearing Solutions)
• Blue Skies Mental Health
• Blue Sky Mental Health and Wellness PLLC
• Blue Wings Hospice Inc
• Ceit Blue, IBCLC
• Cynthia Ann Blue, R.N.

• Acupuncturist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.