Individual provider Active NPI

Pamela Harrington Stark, CRNA

  • Certified Registered Nurse Anesthetist
  • Raleigh, NC
National Provider Identifier
1821035981
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN 150792 Issued in NC
Practice address
7617 Astoria PL
Raleigh, NC 27612-7399
Phone
(919) 784-9240
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN 150792 NC Primary

Addresses

Primary practice location

7617 Astoria PL
Raleigh, NC 27612-7399

Mailing address

7617 Astoria PL
Raleigh, NC 27612-7399
Phone (919) 784-9240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000049 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527969484 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Rush Medical College of Rush University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 756-3500

Hospital & facility affiliations

  • Guthrie Cortland Regional Medical Center Hospital, Cortland, NY, CCN 330175
  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 150792NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Dec 14, 2022 Accepting new patients
Chag Anesthesia PC CurrentSince May 1, 2009 Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Dec 14, 2022 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Apr 15, 2018 Accepting new patients
Chenango Memorial Hospital Inc CurrentSince Jan 14, 2013 Accepting new patients
Chenango Memorial Hospital, Inc. CurrentSince Jan 14, 2013 Accepting new patients
Nurse Anesthesia of North Carolina, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC Past Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

190 Intrepid Ln
Syracuse, NY 13205
Phone (315) 498-6200

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821035981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 ASTORIA PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127399",
            "telephone_number": "919-784-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 ASTORIA PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127399",
            "telephone_number": "919-784-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "PAMELA",
        "middle_name": "HARRINGTON",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "RN 150792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.