Mary K Stark (NPI# 1871629055, PAC ID# 8820182918) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1871629055 |
PAC ID by PECOS | 8820182918 |
Professional Enrollment ID | I20070920000149 |
Full Name | Mary K Stark |
Organization Legal Name | STARK MEDICAL GROUP PC |
Address |
932 W Idaho Ave Suite 100 Ontario OR 97914-2155 |
Phone Number | 5418892244 |
Gender | F |
Graduation Year | 2006 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4284873886 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
932 W Idaho Ave, Suite 100, Ontario, OR 97914-2155 | 5418892244 | STARK MEDICAL GROUP PC |
932 W Idaho Ave, Ontario, OR 97914-2155 | 5418892244 | STARK MEDICAL GROUP PC |
Organization Legal Name | STARK MEDICAL GROUP PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Fred R Stark | Internal Medicine | Stark Medical Group PC | 932 W Idaho Ave, Ontario, OR 97914-2155 |
Street Address |
932 W IDAHO AVE SUITE 100 |
City | ONTARIO |
State | OR |
Zip | 97914-2155 |
Name | Specialty | Organization | Address |
---|---|---|---|
Julie C Rysenga | Ophthalmology | 932 W Idaho Ave, Suite 101, Ontario, OR 97914-2155 | |
Jody A Stark | Nurse Practitioner | 932 W Idaho Ave, Suite 100, Ontario, OR 97914-2155 | |
David B Christie | Ophthalmology | 932 W Idaho Ave, Ontario, OR 97914-2155 | |
Fred R Stark | Internal Medicine | Stark Medical Group PC | 932 W Idaho Ave, Ontario, OR 97914-2155 |
Name | Specialty | Organization | Address |
---|---|---|---|
David Oran Hardy | Physical Therapy | Treasure Valley Physical Therapy Inc | 2671 Sw 4th Ave, Ontario, OR 97914-1833 |
Steven Blaine Anderson | Physical Therapy | Treasure Valley Physical Therapy Inc | 2671 Sw 4th Ave, Ontario, OR 97914-1833 |
Daniel Walter Chudleigh | Physical Therapy | Treasure Valley Physical Therapy Inc | 2671 Sw 4th Ave, Ontario, OR 97914-1833 |
Marguerite Overton | Certified Registered Nurse Anesthetist (crna) | Overton/stiff Professional Anesthesia Service Ltd | 251 Sw 19th St, Ontario, OR 97914-1972 |
Jeffrey C Pitts | Ophthalmology | 269 Sw 19th St, Ontario, OR 97914-1972 | |
Bradley Scott Dalling | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 251 Sw 19th St, Ontario, OR 97914-1972 |
Sharon E Morrison-doke | Qualified Speech Language Pathologist | 964 W Idaho Ave, Ontario, OR 97914-2111 | |
Paul C Gering Jr. | Family Medicine | 1077 Sw 3rd Ave, Ontario, OR 97914-2125 | |
Debra J Alexander | Nurse Practitioner | 1008 Sw 4th Ave, Ontario, OR 97914-2128 | |
Roger W Allen | Chiropractic | 1193 Sw 4th Ave, Ontario, OR 97914-2129 | |
Find all physicians in zip 97914 |
City | ONTARIO |
Zip Code | 97914 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ONTARIO + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.