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DR. WAYNE NELSON STARK JR. M.D.
NPI 1215246202
Pediatrics - Pediatric Emergency Medicine in Louisville, KY

Active since September 25, 2010PECOS Enrolled
4001 DUTCHMANS LN, LOUISVILLE, KY 40207(502) 599-3930(502) 559-4605 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 5, 2024, Apr 29, 2021 (2 updates tracked since 2021).

About Dr. Wayne Nelson Stark Jr. M.d. NPPES

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

DR. WAYNE NELSON STARK JR. M.D. (NPI 1215246202) is an individual pediatric emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (45095) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215246202
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. WAYNE NELSON STARK JR.Credential: M.D.
Location Address4001 DUTCHMANS LNLouisville, KY 40207-4714
Mailing AddressPo Box 776879Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 599-3930
Fax(502) 559-4605
Sole ProprietorNo
Enumeration DateSeptember 25, 2010
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1215246202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in KY · 45095✔ Licensed in FL · ME123631
Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 45095 (KY)
4001 DUTCHMANS LN, Louisville, KY 40207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wayne Nelson Stark Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD C ADLER AND ASSOCIATES
Specialist
4001 DUTCHMANS LN, SUITE 7B
LOUISVILLE, KY 40207
Jefferson County (502) 896-4711
DR. ANN COFFEY M.D.
Emergency Medicine
4001 DUTCHMANS LN
LOUISVILLE, KY 40207
Jefferson County (502) 893-1084
MR. WILLIAM GEORGE ROBINSON JR. R.N.
Registered Nurse (General Practice)
4001 DUTCHMANS LN
LOUISVILLE, KY 40207
Jefferson County (502) 893-1010
RICHARD J. WIESEMANN M.D.
Radiology (Diagnostic Radiology)
4001 DUTCHMANS LN, RADIOLOGY
LOUISVILLE, KY 40207
Jefferson County (502) 893-1183
DANTE J MORASSUTTI MD
Specialist
4001 DUTCHMANS LN, SUITE 1D
LOUISVILLE, KY 40207
Jefferson County (502) 899-6980
MR. STEVEN DOUGLAS ALLEN CRNA
Nurse Anesthetist, Certified Registered
4001 DUTCHMANS LN
LOUISVILLE, KY 40207
Jefferson County (502) 893-1110
MRS. KIMBERLY MORGAN ARNP
Nurse Practitioner
4001 DUTCHMANS LN, STE 7B
LOUISVILLE, KY 40207
Jefferson County (502) 896-4711
JASON B GREENBERG
Ophthalmology
4001 DUTCHMANS LN, STE. 5F
LOUISVILLE, KY 40207
Jefferson County (502) 899-3288

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 Wayne Stark's NPI number?

The NPI number for Wayne Stark is 1215246202. It was assigned to this individual provider in the NPPES registry on September 25, 2010.

Where is Wayne Stark located?

Wayne Stark practices at 4001 Dutchmans Ln, Louisville, KY 40207. The listed phone number is (502) 599-3930.

What is Wayne Stark's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Wayne Stark enrolled in Medicare?

Yes. Wayne Stark is registered in the Medicare PECOS enrollment system.

What insurance does Wayne Stark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Wayne Stark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wayne Stark was last updated on September 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.