STARK MEDICAL GROUP PC
NPI 1063754208
Nurse Practitioner - Family in Ontario, OR
NPI Status: Active since March 26, 2013
Contact Information
932 W IDAHO AVE STE 100
ONTARIO, OR
ZIP 97914
Phone: (541) 889-2244
Fax: (541) 889-2626
- Organization
- Nurse Practitioner
- Family
- Accepts Insurance
- CLIA Number: 38D0940524
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-31-2025
About STARK MEDICAL GROUP PC
This page provides the complete NPI Profile along with additional information for Stark Medical Group Pc, a provider established in Ontario, Oregon operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1063754208 assigned on March 2013. The practitioner's primary taxonomy code is 363LF0000X with license number 079043254N1 (OR). The provider is registered as an organization and their NPI record was last updated 3 years ago. Stark Medical Group Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Brenda L Stark (Office Manager)
- NPI
- 1063754208
- Provider Name
- STARK MEDICAL GROUP PC
- Entity Type
- Organization
- Location Address
- 932 W IDAHO AVE STE 100 ONTARIO, OR 97914
- Location Phone
- (541) 889-2244
- Location Fax
- (541) 889-2626
- Mailing Address
- PO BOX J ONTARIO, OR 97914
- Mailing Phone
- (541) 889-2244
- Mailing Fax
- (541) 889-2626
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-26-2013
- Last Update Date
- 10-19-2022
- Code Navigator
A nurse practitioner (NP) like Stark Medical Group Pc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 079043254N1
- License State
- OR
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 200550081NP (OR) |
| 2 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D0940524
- Facility Type
- Physician Office
- Certificate Effective Date
- January 01, 2024
- Certificate Expiration Date
- December 31, 2025
- Laboratory Director
- JODY A. STARK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Stark Medical Group Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for STARK MEDICAL GROUP PC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 7 | 5 | 4 | 2 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 14 | 5 | 8 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 4 + 5 + 8 + 2 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1063754208 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316107782 | STARK MEDICAL, PC Organization | Internal Medicine | 932 W IDAHO AVE STE 100 ONTARIO, OR 97914 (541) 889-2244 |
| 1588999007 | FOUR RIVERS HEALTHCARE CLINIC Organization | Clinical Nurse Specialist (Family Health) | 932 W IDAHO AVE STE 100 ONTARIO, OR 97914 (541) 889-2244 |
| 1770308074 | CHANDLER HEALTH P.C. Organization | Nurse Practitioner (Adult Health) | 932 W IDAHO AVE STE 100 ONTARIO, OR 97914 (208) 781-1728 |
| 1720144793 | MRS. SARAH BETH CHANDLER DNP Individual | Nurse Practitioner (Gerontology) | 932 W IDAHO AVE STE 100 ONTARIO, OR 97914 (541) 889-2244 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063754208, enumerated in the NPI registry as an "organization" on March 26, 2013
The provider is located at 932 W Idaho Ave Ste 100 Ontario, Or 97914 and the phone number is (541) 889-2244
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 38D0940524 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 26, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.