DOYLE G STARK JR. PAC NPI 1942295779
Physician Assistant - Medical in Lawton, OK
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 Address | 3401 W GORE BLVD LAWTON, OK 73505 |
| Provider Mailing Address | PO BOX 785 LAWTON, OK 73502 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 09-19-2005 |
| Last Update Date | 08-04-2008 |
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 Code | 363AM0700X |
| Classification | Physician Assistant |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| Specialization | Medical |
| License No. | 491 |
| License State | OK |
Business Address
DOYLE G STARK JR. PAC
3401 W GORE BLVD
LAWTON, OK
ZIP 73505
Phone: (580) 510-7037
Fax: (580) 510-7038
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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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 |
|---|---|---|---|
| PA004912 | OTHER (01) | OK | MEDICARE ID |
| 100206310B | MEDICAID (05) | OK | |
| 347459107 | OTHER (01) | OK | DOL |
| 970007869 | OTHER (01) | RAILROAD MEDICARE | |
| R82795 | MEDICARE 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. | |||||||||
| 1 | 9 | 4 | 2 | 2 | 9 | 5 | 7 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 8 | 2 | 4 | 9 | 10 | 7 | 14 | |
| 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 = 9 | 9 | ||||||||
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 Registered | 3401 W GORE BLVD LAWTON, OK 73505 (580) 355-8620 |
| 1912990672 | AMYBETH R HILTON MD Individual | Anesthesiology | 3401 W GORE BLVD LAWTON, OK 73505 (580) 355-8620 |
| 1346233004 | CHARLES E MORTENSEN MD Individual | Anesthesiology | 3401 W GORE BLVD LAWTON, OK 73505 (580) 355-8620 |
| 1922091677 | JAMES LOWELL GRAVES JR. CRNA Individual | Nurse Anesthetist, Certified Registered | 3401 W GORE BLVD LAWTON, OK 73505 (580) 355-8620 |
| 1407849169 | HANDEL F PASCOE MD Individual | Anesthesiology | 3401 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 Medicine | 3401 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 Medicine | 3401 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 |
| 1285688135 | LOUISIANA EM-I MEDICAL SERVICES, P.A. Organization | Emergency Medicine | 3401 W GORE BLVD LAWTON, OK 73505 (580) 355-8620 |
| 1154364719 | COMANCHE COUNTY HOSPITAL AUTHORITY Organization | Rehabilitation Unit | 3401 W GORE BLVD LAWTON, OK 73505 (580) 355-8699 |
| 1568406767 | DR. JEFFREY GOLIGHTLY M.D. Individual | Emergency Medicine | 3401 W GORE BLVD LAWTON, OK 73505 (580) 355-8620 |
| 1457380628 | DR. RICHARD J BOATSMAN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3401 W GORE BLVD LAWTON, OK 73505 (580) 355-8690 |
| 1255363313 | SOUTHWEST ANESTHESIA - SERVICE OF COMANCHE COUNTY MEMORIAL HOSPITAL Organization | General Acute Care Hospital | 3401 W GORE BLVD LAWTON, OK 73505 (580) 355-8620 |
| 1013932706 | LAWTON 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.