STARK MEDICAL GROUP PC
STARK MEDICAL GROUP PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1063754208, based in Ontario, OR. The organization lists 3 taxonomy classifications, with Family Nurse Practitioner recorded as primary.
Getting there
The practice address on file is 932 W IDAHO AVE STE 100, Ontario, OR 97914. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 079043254N1 | OR | Family Nurse Practitioner primary |
| 200550081NP | OR | Psychiatric/Mental Health Nurse… |
This provider holds licence 079043254N1 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 4284873886
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LF0000X | Family Nurse Practitioner Family | 079043254N1 | OR | primary |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | 200550081NP | OR | |
| 363LP2300X | Primary Care Nurse Practitioner Primary Care | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1063754208 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 26, 2013 |
| Last updated | Oct 19, 2022 |
| Status | Active |
| Practice address |
932 W IDAHO AVE STE 100 Ontario, OR 97914 (541) 889-2244 Fax (541) 889-2626 |
| Mailing address |
PO BOX J Ontario, OR 97914 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 6 | 3 | 7 | 5 | 4 | 2 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 3 | 3 | 5 | 5 | 8 | 2 | 0 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.