STARK MEDICAL, PC (NPI# 1316107782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316107782 |
| Entity Type | Organization |
| Organization Name | STARK MEDICAL, PC |
| Practice Address |
932 W Idaho Ave Ste 100 Ontario OR 97914-2155 |
| Mailing Address |
Po Box J Ontario OR 97914-0020 |
| Practice Telephone | 5418892244 |
| Practice Fax Number | 5418892626 |
| Mailing Telephone | 5418892244 |
| Mailing Fax Number | 5418892626 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | BRENDA L STARK (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 5418892244 |
| Authorized Official Credential | BS/BM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
932 W IDAHO AVE STE 100 |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063754208 | Stark Medical Group PC | Allergy & Immunology | 932 W Idaho Ave Ste 100, Ontario, OR 97914-2155 | 2013-03-26 |
| 1588999007 | Four Rivers Healthcare Clinic | Nurse Practitioner | 932 W Idaho Ave Ste 100, Ontario, OR 97914-2155 | 2009-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587670 | Physicians of Southern California Inc | Internal Medicine | 1304 W Holt Blvd Ste A, Ontario, CA 91762-3640 | 2020-10-29 |
| 1093193708 | Orion Internal Medicine Associates, Apc | Internal Medicine | 1030 N Mountain Ave, Suite#206, Ontario, CA 91762-2114 | 2015-05-13 |
| 1285011171 | Samuel Raymond | Internal Medicine | 2054 E Yale St Apt B, Ontario, CA 91764-6826 | 2015-04-30 |
| 1386083780 | Dianne Elizabeth Quintana | Internal Medicine | 2680 E Riverside Dr, Ontario, CA 91761 | 2013-06-18 |
| 1306004114 | Erdem Aktunc | Internal Medicine | 2529 Patricia Ave, Ontario, OR 97914-5306 | 2008-05-28 |
| 1316105505 | David Hernandez-rodriguez Md Inc. | Internal Medicine | 517 East Holt Street, Ontario, CA 91761-1704 | 2008-05-25 |
| 1871627331 | Ujwala Pagedar | Internal Medicine | 2131 Park Ave W, Ontario, OH 44906-1226 | 2007-03-15 |
| 1366516718 | David Herbert Daniels | Internal Medicine | 3535 Inland Empire Blvd, Suite 27, Ontario, CA 91764-4908 | 2006-11-20 |
| 1881790251 | Kishan Thapar | Internal Medicine | 4150 Concours Ste 100, Ontario, CA 91764-5914 | 2006-09-15 |
| 1477567485 | John H Phillips | Internal Medicine | 1037 Sw 5th Ave, Ontario, OR 97914-3301 | 2006-07-27 |
| Find all providers in ONTARIO | ||||
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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.