Individual provider Active NPI

Craig Stark, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1396114211
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD31781 Issued in DC
Practice address
2978 E Greenlee St
Tucson, AZ 85716
Phone
(520) 399-7787
NPI assigned
Sep 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD31781 DC Primary

Addresses

Primary practice location

2978 E Greenlee St
Tucson, AZ 85716

Mailing address

2978 E Greenlee St
Tucson, AZ 85716-1203
Phone (520) 399-7787

Other practice location 1

331 North Bridge Road
#17-00
Singapore, Singapore 188720
SG
Phone (659) 726-8242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD31781DCMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: craig.stark@830928069525508.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1396114211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2978 E GREENLEE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161203",
            "telephone_number": "520-399-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2978 E GREENLEE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85716",
            "telephone_number": "520-399-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 North Bridge Road",
            "address_2": "#17-00",
            "address_purpose": "LOCATION",
            "city": "Singapore",
            "state": "Singapore",
            "postal_code": "188720",
            "country_code": "SG",
            "telephone_number": "659-726-8242",
            "country_name": "Singapore",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-21",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD31781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.