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

Active since February 17, 2010
6647 BROOKLYN HEIGHTS ST, LAS VEGAS, NV 89166(702) 250-9022(702) 685-6896 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stark Industries Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STARK INDUSTRIES MEDICAL (NPI 1194047282) is a healthcare organization registered as a surgical in Las Vegas, Nevada and active in the NPI registry since February 2010. The organization lists Brian William Stark, President, as its authorized official.

NPPES Registry Identity

NPI1194047282
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSTARK INDUSTRIES MEDICAL
Location Address6647 BROOKLYN HEIGHTS STLas Vegas, NV 89166-8020
Mailing Address6647 Brooklyn Heights StLas Vegas, NV 89166-8020 · (702) 250-9022 · Fax (702) 685-6896
Phone(702) 250-9022
Fax(702) 685-6896
Organization SubpartNo
Authorized OfficialBrian William StarkPresident · (702) 250-9022
Enumeration DateFebruary 17, 2010
✔ NPI 1194047282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NV · PA1068
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA1068 (NV)
6647 BROOKLYN HEIGHTS ST, Las Vegas, NV 89166
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stark Industries Medical's NPI number?

The NPI number for Stark Industries Medical is 1194047282. It was assigned to this organization in the NPPES registry on February 17, 2010.

Where is Stark Industries Medical located?

Stark Industries Medical is located at 6647 Brooklyn Heights St, Las Vegas, NV 89166. The listed phone number is (702) 250-9022.

What is Stark Industries Medical's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Stark Industries Medical was last updated on February 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.