Mark Allen Stradling, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

010852 Issued in AZ

Practice address

2110 Airway Ave
Kingman, AZ 86409-3652

Phone

(928) 753-2106

Fax

(928) 753-4283

NPI assigned

Mar 11, 2008

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mohave Eye Centers LTD.Group PAC ID 7911985247, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.19 of 100Reported as individual

Quality

68.98

Improvement activities

40

Cost

72

Merit-based Incentive Payment System (MIPS)

Final score

83.99 of 100Reported as group

Quality

82.33

Improvement activities

40

Cost

79.02

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mstradling12796@direct.umcsn.com

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.

• Mohave Eye Centers LTD

  • Optometrist
  • Kingman, AZ
  • NPI 1063438257

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Mohave Eye Center, LTD

  • Optometrist
  • Bullhead City, AZ
  • NPI 1477006724
  NPD
• Prestige Laser and Cataract Institute LLC

  • Ambulatory Surgical Clinic/Center
  • Kingman, AZ
  • NPI 1518680347

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1982874509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 AIRWAY AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093652",
            "telephone_number": "928-753-2106",
            "fax_number": "928-753-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 AIRWAY AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093652",
            "telephone_number": "928-753-2106",
            "fax_number": "928-753-4283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Eastern St Ste H",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864015486",
            "country_code": "US",
            "telephone_number": "928-224-0536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3003 Highway 95 Ste 11",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864427896",
            "country_code": "US",
            "telephone_number": "928-763-1000",
            "fax_number": "928-758-4893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRADLING",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "1576",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "010852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982874509",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angeline M Spry
• Francis Edmond St. Laurent, PTA
• Stat Medical Supplies Inc
• Wylie C Stevens
• Alexis Kaye Stewart, LISW
• Kerilei R Strawn, CTC - NCCA
• Taryn Strong
• Lund Leo Stucki, AUDIOPROSTHOLOGIST B
• Karen Stump
• Daniela Suarez, DO

• Ophthalmology Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.
• 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.