Chester Starks Jr., RCIS,RCS

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

License

00039743 Issued in IN

Practice address

1149 Polk St
Gary, IN 46407-3808

Phone

(219) 895-9695

NPI assigned

Nov 10, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Millennium Ultrasound LLC

  • Sonography Specialist/Technologist Cardiovascular
  • Gary, IN
  • NPI 1093261992
  NPD Authorized official

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1790086460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 POLK ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464071120",
            "telephone_number": "219-895-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 POLK ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464073808",
            "telephone_number": "219-895-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKS",
        "first_name": "CHESTER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RCIS,RCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-10",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XC2901X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Cardiovascular Invasive Specialist",
            "state": "IN",
            "license": "00039743",
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "IN",
            "license": "00039743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stable Family & Children Services LLC
• Stable Home Care LLC
• Renetta Stalling Knighten
• Leah Lynn Staples, CNM
• Chandler Starks, LCMT
• Callie Stephens
• Sterling Emergency Services of Indiana, Inc
• Sterling Healthcare
• Neysa Stewart
• Stephanie Stingley

• Sonography Specialist/Technologist Cardiovascular in Gary, IN
• Providers in Gary, IN by specialty
• Sonography Specialist/Technologist Cardiovascular in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.