Warren Carlton Stark, DO

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

R7B79 Issued in MO

Practice address

6675 Holmes Rd
Ste 360
Kansas City, MO 64131-1150

Phone

(816) 276-7600

Fax

(816) 276-7992

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Crossroads Hospice of Kansas LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Lenexa, KS
  • NPI 1134836570
  NPD

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1851370860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD STE 360",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311167",
            "telephone_number": "816-276-7600",
            "fax_number": "816-276-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD",
            "address_2": "STE 360",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311150",
            "telephone_number": "816-276-7600",
            "fax_number": "816-276-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "WARREN",
        "middle_name": "CARLTON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "DOR7B79",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MO",
            "license": "R7B79",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241593250",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Lynn Stanton, DMD, FAGD
• Starboard Therapy and Coaching
• Amy Marie Stark
• Brooke Stark
• Steven Paul Stark, M.D.
• Hannah Elizabeth Starke, PLPC
• Gregory Charles Starks, MD
• Sherard Starks, LCSW
• Tarisha Starks, LPC
• Laura Starling, PA-C

• Hospice and Palliative Medicine (Family Medicine) Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.