Active NPI
Pamela Harrington Stark, CRNA
- Certified Registered Nurse Anesthetist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN 150792
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Practice addresses (Care Compare)
134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 756-3500
Hospital & facility affiliations
- Guthrie Cortland Regional Medical Center
- Cayuga Medical Center at Ithaca
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 150792 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Chag Anesthesia PC | Current | Accepting new patients | |
| Chenango Memorial Hospital Inc | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| Chenango Memorial Hospital Inc | Current | Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Current | 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.
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Anesthesiology Physician
- Syracuse, NY
- NPI 1740279017
-
- General Acute Care Hospital
- Norwich, NY
- NPI 1770593956
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Durable Medical Equipment & Medical Supplies
- Norwich, NY
- NPI 1437818622
-
- Family Medicine Physician
- Norwich, NY
- NPI 1467526889
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Certified Registered Nurse Anesthetist
- Elizabeth City, NC
- NPI 1689628729
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Newport News, VA
- NPI 1760417281
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
- General Acute Care Hospital
- Cortland, NY
- NPI 1740287531
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.