Wayne Dion Starks, M.D.
Individual provider Active NPI General Practice Physician · Rancho Mirage, CA
NPI 1497799688 · NPPES record last updated Oct 26, 2021
Key facts
- NPI
- 1497799688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- C50845 (CA)
- Practice address
- 72057 Highway 111
Rancho Mirage, CA 92270-4927 - Phone
- (760) 619-3053
- Fax
- (760) 619-3054
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5845 | CA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Voxel Imaging Inc | Past | Accepting new patients | |
| Midwest Physician Services PC | Past | Accepting new patients | |
| Cornerstone Medical Services Inc | Past |
Accepting new patients | |
| 24 Hour Urgent Care of the Desert | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | C50845 | CA | |
| Adult Medicine Physician | 207QA0505X | C5845 | CA | |
| General Practice Physician | 208D00000X | C50845 | CA | Yes |
Addresses
Primary practice location
72057 Highway 111
Rancho Mirage, CA 92270-4927
Mailing address
72057 Highway 111
Rancho Mirage, CA 92270-4927
Phone (909) 633-7888
Other names
- Wayne Dion Starks
Other providers in Rancho Mirage, CA
- Patrick St.Pierre
- Rachael Catherine Stankey
- Jeffrey Vance Stansberry
- Edgar Staren
- Macy Marie Stark
- Atalia Steele
- Rachelle Ann Steiner
- Stellar Medical Management, Inc.
- Stellar Surgical Specialties, Inc.
- Dorothy D Stenehjem
All providers in Rancho Mirage, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.