STARK INDUSTRIES MEDICAL
NPI 1194047282
Physician Assistant - Surgical in Las Vegas, NV

NPI Status: Active since February 17, 2010

Contact Information

6647 BROOKLYN HEIGHTS ST
LAS VEGAS, NV
ZIP 89166
Phone: (702) 250-9022
Fax: (702) 685-6896

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  • Organization
  • Physician Assistant
  • Surgical

About STARK INDUSTRIES MEDICAL

This page provides the complete NPI Profile along with additional information for Stark Industries Medical, a provider established in Las Vegas, Nevada operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1194047282 assigned on February 2010. The practitioner's primary taxonomy code is 363AS0400X with license number PA1068 (NV). The provider is registered as an organization and their NPI record was last updated 16 years ago. Stark Industries Medical operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Brian William Stark Jr. Pa-c (President)

NPI
1194047282
Provider Name
STARK INDUSTRIES MEDICAL
Entity Type
Organization
Location Address
6647 BROOKLYN HEIGHTS ST LAS VEGAS, NV 89166
Location Phone
(702) 250-9022
Location Fax
(702) 685-6896
Mailing Address
6647 BROOKLYN HEIGHTS ST LAS VEGAS, NV 89166
Mailing Phone
(702) 250-9022
Mailing Fax
(702) 685-6896
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-17-2010
Last Update Date
02-17-2010
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA1068
License State
NV

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)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

PA1068 (NV)

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRIAN WILLIAM STARK JR. PA-C

Authorized Official Title
PRESIDENT
Authorized Official Phone
(702) 250-9022

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194047282, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 0 + 4 + 1 + 4 + 2 + 1 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1194047282.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194047282, enumerated as an "organization" on February 17, 2010.

The provider is located at 6647 BROOKLYN HEIGHTS ST LAS VEGAS, NV 89166 and the phone number is (702) 250-9022.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.