Owen Stark (NPI# 1073709531, PAC ID# 1456521830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1073709531 |
| PAC ID by PECOS | 1456521830 |
| Professional Enrollment ID | I20110822000263 |
| Full Name | Owen Stark |
| Organization Legal Name | CAMBRIA SOMERSET RADIOLOGY AND NUCLEAR MEDICINE GROUP INC |
| Address |
905 Susquehanna St Johnstown PA 15905-3053 |
| Phone Number | 8145354065 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2004 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7113824277 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390110 | CONEMAUGH MEMORIAL MEDICAL CENTER |
| 391302 | MEYERSDALE MEDICAL CENTER |
| 390130 | CONEMAUGH MINERS MEDICAL CENTER |
| 390112 | WINDBER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4061 Thornoaks Dr, Ann Arbor, MI 48104-4253 | 8145354065 | CAMBRIA SOMERSET RADIOLOGY AND NUCLEAR MEDICINE GROUP INC |
| 905 Susquehanna St, Johnstown, PA 15905-3053 | 8145354065 | CAMBRIA SOMERSET RADIOLOGY AND NUCLEAR MEDICINE GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 95% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 99% |
| Organization Legal Name | CAMBRIA SOMERSET RADIOLOGY AND NUCLEAR MEDICINE GROUP INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Wherthey | Diagnostic Radiology | Cambria Somerset Radiology and Nuclear Medicine Group Inc | 227 Luzerne St, Johnstown, PA 15905-2419 |
| Stanley John Golden | Diagnostic Radiology | Cambria Somerset Radiology and Nuclear Medicine Group Inc | 1044 Willow Beach Rd, Portage, PA 15946-5506 |
| William T Herbick | Diagnostic Radiology | Cambria Somerset Radiology and Nuclear Medicine Group Inc | 228 Sunapee Dr, Johnstown, PA 15904-3616 |
| Howard Forman | Diagnostic Radiology | Cambria Somerset Radiology and Nuclear Medicine Group Inc | 1086 Franklin St, Johnstown, PA 15905-4305 |
| Steven L Diehl | Diagnostic Radiology | Cambria Somerset Radiology and Nuclear Medicine Group Inc | 1086 Franklin St, Johnstown, PA 15905-4305 |
| Kristy M Wolfel | Diagnostic Radiology | Cambria Somerset Radiology and Nuclear Medicine Group Inc | 1086 Franklin St, Johnstown, PA 15905-4305 |
| Anthony J Scuderi | Diagnostic Radiology | Cambria Somerset Radiology and Nuclear Medicine Group Inc | 1086 Franklin St, Johnstown, PA 15905-4305 |
| Lawrence M Mcniesh | Diagnostic Radiology | Cambria Somerset Radiology and Nuclear Medicine Group Inc | 1086 Franklin St, Johnstown, PA 15905-4305 |
| Gary Scott Kramer | Diagnostic Radiology | Cambria Somerset Radiology and Nuclear Medicine Group Inc | 1086 Franklin St, Johnstown, PA 15905-4305 |
| Joel W Bunn | Physician Assistant | Cambria Somerset Radiology and Nuclear Medicine Group Inc | 1086 Franklin St, Johnstown, PA 15905-4305 |
| Street Address |
905 SUSQUEHANNA ST |
| City | JOHNSTOWN |
| State | PA |
| Zip | 15905-3053 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary B Berge | Psychologist, Clinical | 1765 Goucher St, Suite 150, Johnstown, PA 15905-1101 | |
| Ian Katz | Orthopedic Surgery | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
| Ronald Brandon Trale | Orthopedic Surgery | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
| Enrique S Koh | Family Medicine | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
| Jan M Savit | Neurology | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
| Molly B Trostle | Internal Medicine | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
| Amy M Reynolds | Family Medicine | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
| Terry Jean Nesmith | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 100 Woodmont Rd, Johnstown, PA 15905-1342 |
| Marcia J Bathurst | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 100 Woodmont Rd, Johnstown, PA 15905-1342 |
| John Wherthey | Diagnostic Radiology | Cambria Somerset Radiology and Nuclear Medicine Group Inc | 227 Luzerne St, Johnstown, PA 15905-2419 |
| Find all physicians in zip 15905 | |||
| City | JOHNSTOWN |
| Zip Code | 15905 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | JOHNSTOWN + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Owen Stark.
| 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.