DOYLE G STARK JR. PAC NPI 1942295779

Physician Assistant - Medical in Lawton, OK

Individual Male Physician Assistant Medical PECOS Enrolled

About DOYLE G STARK JR. PAC

Doyle Stark is a primary care provider established in Lawton, Oklahoma and his medical specialization is Physician Assistant with a focus in medical . The NPI number of Doyle Stark is 1942295779 and was assigned on September 2005. The practitioner's primary taxonomy code is 363AM0700X with license number 491 (OK). The provider is registered as an individual and his NPI record was last updated 14 years ago.

A primary care provider (PCP) like Doyle G Stark Jr. Pac sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1942295779

Provider Name DOYLE G STARK JR. PAC
Provider Location Address3401 W GORE BLVD LAWTON, OK 73505
Provider Mailing AddressPO BOX 785 LAWTON, OK 73502
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date09-19-2005
Last Update Date08-04-2008



Doyle Stark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

Doyle Stark is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code363AM0700X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationMedical
License No.491
License StateOK

Business Address

DOYLE G STARK JR. PAC
3401 W GORE BLVD
LAWTON, OK
ZIP 73505
Phone: (580) 510-7037
Fax: (580) 510-7038

Get Directions


Mailing Address

DOYLE G STARK JR. PAC
PO BOX 785
LAWTON, OK
ZIP 73502
Phone: (580) 357-9984
Fax: (580) 357-3277


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PA004912OTHER (01)OKMEDICARE ID
100206310BMEDICAID (05)OK
347459107OTHER (01)OKDOL
970007869OTHER (01)RAILROAD MEDICARE
R82795MEDICARE UPIN (02)

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.
1942295779
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29824910714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 4 + 9 + 1 + 0 + 7 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1942295779 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295735777 KATHLEEN MARIE FEELEY CRNA
Individual
Nurse Anesthetist, Certified Registered3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1912990672 AMYBETH R HILTON MD
Individual
Anesthesiology3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1346233004 CHARLES E MORTENSEN MD
Individual
Anesthesiology3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1922091677 JAMES LOWELL GRAVES JR. CRNA
Individual
Nurse Anesthetist, Certified Registered3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1407849169 HANDEL F PASCOE MD
Individual
Anesthesiology3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1629063300 AARON L TRACHTE MD
Individual
Surgery (Vascular Surgery)3401 W GORE BLVD
LAWTON, OK 73505
(580) 357-4339
1700871399 DALE F DUGUID MD
Individual
Family Medicine3401 W GORE BLVD
LAWTON, OK 73505
(580) 510-7037
1518953991 GEORGE F SCHUTZ MD
Individual
Radiology (Diagnostic Radiology)3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1386630770 ASHRAF R MIHANNI MD
Individual
Internal Medicine3401 W GORE BLVD
LAWTON, OK 73505
(580) 510-7037
1164418463 KEVIN K MURRAY MD
Individual
Radiology (Diagnostic Radiology)3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1346220415 COLLEEN L GALLIMORE PAC
Individual
Physician Assistant (Surgical)3401 W GORE BLVD
LAWTON, OK 73505
(580) 357-4339
1669443412 FRANK R HAYDEN MD
Individual
Radiology (Diagnostic Radiology)3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1649233818 KELLY E JONES MD
Individual
Radiology (Diagnostic Radiology)3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1285688135LOUISIANA EM-I MEDICAL SERVICES, P.A.
Organization
Emergency Medicine3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1154364719COMANCHE COUNTY HOSPITAL AUTHORITY
Organization
Rehabilitation Unit3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8699
1568406767DR. JEFFREY GOLIGHTLY M.D.
Individual
Emergency Medicine3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1457380628DR. RICHARD J BOATSMAN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8690
1255363313SOUTHWEST ANESTHESIA - SERVICE OF COMANCHE COUNTY MEMORIAL HOSPITAL
Organization
General Acute Care Hospital3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620
1013932706LAWTON PATHOLOGY SERVICES, LLC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8690
1790792927 JAMES MICHAEL WILLIAMS M.D.
Individual
Emergency Medicine (Emergency Medical Services)3401 W GORE BLVD
LAWTON, OK 73505
(580) 355-8620

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Doyle G Stark Jr. Pac is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.