Victoria Stark, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1498 S Sheldon Rd
Plymouth, MI 48170-2140

Phone

(734) 890-4627

NPI assigned

Oct 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: vstark1065864@direct.hfhs.org

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.

• Amine P Amine MD PC

  • Adolescent Medicine (Internal Medicine) Physician
  • Saint Clair Shores, MI
  • NPI 1376296434

  MI

  Medicare reassignment
• Plymouth Urgent Care Walk-in Clinic LLC

  • Urgent Care Clinic/Center
  • Plymouth, MI
  • NPI 1972094027

  MI

  Medicare reassignment
• Primary Care Associates Group PC

  • Internal Medicine Physician
  • Saint Clair Shores, MI
  • NPI 1235972860

  MI

  Medicare reassignment

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1902371735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15608 FLANAGAN ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 S SHELDON RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702140",
            "telephone_number": "734-890-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Stallworth
• Silvana Stamevski
• Alexis Stanfield
• Christine Stankovic, M.D.
• Arianna Stark-Norton
• Destiney Natasha Starks
• Makayla Starks, LMSW
• William Russell Starnes, PH.D.
• Curtis Thomas Start, PHARMD
• Morgan Statezny

• All providers in Plymouth, MI
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.