Christopher Stark MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

39876 Issued in KY

Legal business name

CHRISTOPHER STARK MD PLLC

Practice address

989 Governors LN
Ste 180
Lexington, KY 40513-1173

Phone

(859) 338-3958

NPI assigned

Mar 17, 2017

Organization subpart

No

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

Authorized official

Name

Samuel Ford, CPC, CANPC

Title

Billing Manager

Phone

(859) 881-3139

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1659812014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN",
            "address_2": "STE 180",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131173",
            "telephone_number": "859-338-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN",
            "address_2": "STE 180",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131173",
            "telephone_number": "859-338-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER STARK MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "859-881-3139",
        "authorized_official_credential": "CPC, CANPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "39876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Lexington, KY
• Providers in Lexington, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.