RANDY W STARK (NPI# 1710987664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710987664 |
| Entity Type | Individual |
| Full Name | RANDY W STARK |
| Credential | M.D. |
| Practice Address |
221 Mahalani St Wailuku HI 96793-2526 |
| Mailing Address |
3916 State St #300 Santa Barbara CA 93105-5602 |
| Practice Telephone | 8082422343 |
| Practice Fax Number | 8082422465 |
| Mailing Telephone | 8055633011 |
| Mailing Fax Number | 8055645087 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2009-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A73186 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A731860 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730381260 | Randy Stark | Physical Therapist | 900 W 38th St Ste 110, Austin, TX 78705-1128 | 2007-06-05 |
| Street Address |
221 MAHALANI ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025971 | Maui Trauma Surgeons LLP | Surgery | 221 Mahalani St, Wailuku, HI 96793-2526 | 2020-08-28 |
| 1366081465 | Elizabeth Ebelhar | Speech-Language Pathologist | 221 Mahalani St, Wailuku, HI 96793-2526 | 2020-01-06 |
| 1134771041 | Moana Imaging Associates LLC | Radiology | 221 Mahalani St, Wailuku, HI 96793-2526 | 2019-07-11 |
| 1013573823 | Miriam Berchuk | Anesthesiology | 221 Mahalani St, Wailuku, HI 96793-2526 | 2019-05-16 |
| 1386103679 | Cynthia Meyer Tamayo | Physical Therapist | 221 Mahalani St, Wailuku, HI 96793-2526 | 2019-03-15 |
| 1841763455 | Sabrina Wilson | Social Worker | 221 Mahalani St, Wailuku, HI 96793-2526 | 2019-01-07 |
| 1326531773 | Maui Memorial Emergency Medical Associates Inc | Emergency Medicine | 221 Mahalani St, Wailuku, HI 96793-2526 | 2018-06-11 |
| 1558850057 | Jessica Davis | Social Worker | 221 Mahalani St, Wailuku, HI 96793-2526 | 2018-05-09 |
| 1508369422 | Danielle Monique Aubert-anderson | Social Worker | 221 Mahalani St, Wailuku, HI 96793-2526 | 2018-03-16 |
| 1740783273 | Jenean Noelani Garcia | Registered Nurse | 221 Mahalani St, Wailuku, HI 96793-2526 | 2018-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063402469 | Jon S Jancaterino | Emergency Medicine | Maui Memorial Medical Center, 221 Mahalani St, Wailuku, HI 96793 | 2005-10-26 |
| 1326531773 | Maui Memorial Emergency Medical Associates Inc | Emergency Medicine | 221 Mahalani St, Wailuku, HI 96793-2526 | 2018-06-11 |
| 1639627664 | Miroslaw Szatko Md LLC | Emergency Medicine | 221 Mahalani St, Wailuku, HI 96793-2526 | 2016-09-19 |
| 1003287566 | Supernova Emergency Physicians, LLC | Emergency Medicine | 221 Mahalani St, Wailuku, HI 96793-2526 | 2015-10-09 |
| 1114224763 | J Jancaterino LLC | Emergency Medicine | 221 Mahalani St, Wailuku, HI 96793-2526 | 2011-02-17 |
| 1063726636 | Reza Danesh Md Inc | Emergency Medicine | 221 Mahalani St, Wailuku, HI 96793-2526 | 2010-08-05 |
| 1780822411 | Miroslaw Szatko | Emergency Medicine | 221 Mahalani St, Wailuku, HI 96793-2526 | 2009-02-03 |
| 1295970143 | Randy W Stark Md Inc | Emergency Medicine | 221 Mahalani St, Wailuku, HI 96793-2526 | 2008-12-06 |
| 1235386335 | William G Langston Md Inc | Emergency Medicine | 221 Mahalani St, Wailuku, HI 96793-2526 | 2008-08-20 |
| 1033377833 | Brenna Mae Shackelford | Emergency Medicine | 221 Mahalani St, Wailuku, HI 96793-2526 | 2008-05-28 |
| Find all providers in WAILUKU | ||||
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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.