STANLEY N STARK (NPI# 1245450790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245450790 |
Entity Type | Individual |
Full Name | STANLEY N STARK |
Credential | MD |
Practice Address |
2501 Buena Vista Dr Se Albuquerque NM 87106-4260 |
Mailing Address |
Po Box 26666 Provider Enrollment Albuquerque NM 87125-6666 |
Practice Telephone | 5059235356 |
Practice Fax Number | 5059235354 |
Mailing Telephone | 5059235356 |
Mailing Fax Number | 5059235354 |
Enumeration Date | 2007-04-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 64-12 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | PENDING | 05 |
Street Address |
2501 BUENA VISTA DR SE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87106-4260 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881690071 | Albert J Rizzoli | Internal Medicine | 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4261 | 2005-06-22 |
1326392804 | Nanette Wilcox | Social Worker | 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4260 | 2012-11-05 |
1710238456 | Frank D Roland | Health Maintenance Organization | 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4260 | 2012-09-20 |
1770854416 | Gypsum Medical Associates of New Mexico, PC | Nurse Practitioner | 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4260 | 2012-01-25 |
1194032938 | Kyle Holloway | Pharmacist | 2501 Buena Vista Dr Se, Suite 1400, Albuquerque, NM 87106-4260 | 2010-08-31 |
1558681668 | Presbyterian Healthcare Services | General Acute Care Hospital | 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4260 | 2010-06-11 |
1568784643 | Abby Nicole Mozes | Emergency Medicine | 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4260 | 2010-02-17 |
1629296686 | Dale P Anderson | Internal Medicine | 2501 Buena Vista Dr Se, Provider Enrollment, Albuquerque, NM 87106-4260 | 2007-04-23 |
1417084153 | Barbara Jeannine Fried-smith | Pharmacist | 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4260 | 2007-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
Find all providers in zip 87106 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
1528417953 | Sofia Michelle Markee | Pediatrics | 1 University of New Mexico Pediatric Department, Albuquerque, NM 87131-0001 | 2016-06-07 |
1619363751 | Lauren N Gabreski | Pediatrics | Us Air Force, 377 Mdg/sghc, 2050a Second Street Se, Albuquerque, NM 87117-5522 | 2015-04-15 |
1174918197 | Ross Newman | Pediatrics | 2211 Lomas Blvd Ne # 3acc, Albuquerque, NM 87106-2719 | 2015-04-06 |
1942612650 | Amy M Rouse | Pediatrics | 933 Bradbury Dr Se Ste 222, Albuquerque, NM 87106 | 2014-05-29 |
1215362017 | Deborah Mcgrew Md LLC | Pediatrics | 1615 University Blvd Ne, Albuquerque, NM 87102-1717 | 2013-09-11 |
1477986065 | Gypsum Medical Associates of New Mexico, PC | Pediatrics | Building 9200, Area Y, Kirtland Air Force Base-east, Albuquerque, NM 87115 | 2013-08-19 |
1750653069 | Molina Healthcare of New Mexico | Pediatrics | 7317 Central Ne, Albuquerque, NM 87108-2015 | 2012-02-01 |
1720370612 | Alfonso Belmonte | Pediatrics | Unm Department of Pediatrics Msc10 5590, Albuquerque, NM 87131-0001 | 2011-05-10 |
1326288010 | Minh N. Ho | Pediatrics | 4701 Montgomery Boulevard Ne, Albuquerque, NM 87109 | 2009-02-20 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87106 |
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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.