MR. RICHARD JAMES STORK (NPI# 1205897956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205897956 |
Entity Type | Individual |
Full Name | MR. RICHARD JAMES STORK |
Credential | MD |
Practice Address |
110 Dutchman Ct Elkin NC 28621-2237 |
Mailing Address |
Po Box 1267 Mount Airy NC 27030-1267 |
Practice Telephone | 3368355330 |
Practice Fax Number | 3368355337 |
Mailing Telephone | 3367864522 |
Mailing Fax Number | 3367893025 |
Enumeration Date | 2006-03-31 |
Last Update Date | 2014-01-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
2008006962 | MO | Allopathic & Osteopathic Physicians |
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
2007-00624 | NC | Allopathic & Osteopathic Physicians |
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
047537 | GA | Allopathic & Osteopathic Physicians |
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
MD0000021916 | TN | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
2008006962 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | MEDCOST | 197955 | 01 |
NC | 5906657 | 05 | |
NC | BCBS OF NC | 018XV | 01 |
TN | 3893809 | 05 | |
MO | MEDICARE PTAN | 113000001 | 01 |
GA | 000834666M | 05 | |
AL | 009976335 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215116751 | Richard Preston Stork | Chiropractor | 1549 N Leroy St, Suite B, Fenton, MI 48430-2790 | 2007-11-01 |
Street Address |
110 DUTCHMAN CT |
City | ELKIN |
State | NC |
Zip Code | 28621-2237 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578543997 | Donna Kay Davis | Nurse Practitioner | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2006-01-20 |
1114416971 | Matthew Jon Slawter | Nurse Practitioner | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2018-05-08 |
1205376688 | Northern Hospital of Surry County | Pain Medicine | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2017-03-03 |
1588099022 | Northern Hospital of Surry County | Pharmacy | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2013-09-03 |
1225379910 | Surry Regional Health Services Inc. | Anesthesiology | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2013-03-06 |
1194023051 | Revival Pain Management, Inc | Family Medicine | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2011-03-02 |
1164729257 | Revival Pain Management, Inc | Pain Medicine | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2011-02-25 |
1265514194 | Ben Alfred Raines | Family Medicine | 110 Dutchman Ct, Elkin, NC 28621 | 2006-10-19 |
1801813712 | Revival Pain Management Inc | Anesthesiology | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2006-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013553692 | Carenet, Inc. | Counselor | 1288 C.b. Eller School Road, Elkin, NC 28621 | 2019-11-19 |
1386104776 | North Bridge Physio and Sports Performance | Clinic/Center | 1605 North Bridge Street, Elkin, NC 28621 | 2019-03-21 |
1609389238 | Rebecca Anne Dumas | Physical Therapist | 145 Valleybrook Dr, Elkin, NC 28621 | 2017-11-06 |
1922547744 | Lori Barker | Clinical Nurse Specialist | 124, Samaritan's Ridge Road, Elkin, NC 28621 | 2017-02-13 |
1205061256 | Hugh Chatham Memorial Hospital, Inc | Internal Medicine | 520 Chatham Medical Park, Elkin, NC 28621 | 2009-05-20 |
1093909236 | Elkin Obstetrics and Gynecology, Pllc | Obstetrics & Gynecology | 101 A Eldon Parks Dr., Elkin, NC 28621 | 2007-08-30 |
1497956205 | Nayana Abrol | Internal Medicine | 180 Parkwood Drive, Hugh Chatham Memorial Hospital, Elkin, NC 28621 | 2007-05-30 |
1104950765 | Dgis Elkin Inc Dba Chatham Nursing and Rehabilitation | Skilled Nursing Facility | 700 Johnson Ridge Road, Elkin, NC 28621 | 2007-03-15 |
1093860777 | Carolina Select Home Care, LLC. | Home Health | 948-b Johnson Ridge Rd., Elkin, NC 28621 | 2007-01-24 |
1922160761 | Piedmont Department of Urology, Pllc | Urology | 350 Johnson Ridge Medical Park, Elkin, NC 28621 | 2006-12-15 |
Find all providers in zip 28621 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164729257 | Revival Pain Management, Inc | Pain Medicine | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2011-02-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306317011 | United Spine & Pain PC | Pain Medicine | 855 Bradley St Ste A, Concord, NC 28025-2979 | 2018-12-07 |
1144604273 | Justis Group of Edenton | Pain Medicine | 905 Cherry St, North Wilkesboro, NC 28659-4251 | 2015-07-18 |
1578968079 | Carolinas Center for Advanced Management of Pain | Pain Medicine | 2569 Pembroke Rd, Gastonia, NC 28054-4712 | 2014-10-27 |
1255351110 | Scott Richard Johnston | Pain Medicine | 250 Huff Dr, Jacksonville, NC 28546-7369 | 2006-07-20 |
1558366385 | Sunil K Arora | Pain Medicine | 1602 Physicians Dr, Suite 103, Wilmington, NC 28401-7363 | 2005-06-17 |
1528063542 | Center for Pain Management Pllc | Pain Medicine | 1602 Physicians Dr Ste 103, Wilmington, NC 28401-7350 | 2005-06-16 |
1992310502 | Southeastern Pain and Wellness, Pllc | Pain Medicine | 402 W King St, King, NC 27021-9170 | 2020-09-10 |
1710592399 | Triangle Pain Institute | Pain Medicine | 2605 Blue Ridge Rd Ste 330, Raleigh, NC 27607-6475 | 2020-09-10 |
1144863358 | Envision Pain Management Pllc | Pain Medicine | 107 Haywood Park Dr, Clyde, NC 28721-4405 | 2019-10-21 |
1518438811 | Medical Innovations Concepts, P.C. | Pain Medicine | 294 N Nc 16 Business Hwy Ste B, Denver, NC 28037-8741 | 2018-12-12 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MR. RICHARD JAMES STORK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.