DOYLE G STARK JR. PAC
NPI 1942295779
Physician Assistant - Medical in Lawton, OK

Q: What is Doyle Stark's NPI number?

The NPI number for Doyle Stark is 1942295779. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Q: What is Doyle Stark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Doyle Stark was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 19, 2005PECOS Enrolled

3401 W GORE BLVD, LAWTON, OK 73505(580) 510-7037(580) 510-7038 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Doyle G Stark Jr. Pac NPPES

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

DOYLE G STARK JR. PAC (NPI 1942295779) is an individual medical provider in Lawton, Oklahoma, licensed in Oklahoma (491) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942295779

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameDOYLE G STARK JR.Credential: PAC

Location Address3401 W GORE BLVDLawton, OK 73505

Mailing AddressPo Box 785Lawton, OK 73502 · (580) 357-9984 · Fax (580) 357-3277

Phone(580) 510-7037

Fax(580) 510-7038

Sole ProprietorNo

Enumeration DateSeptember 19, 2005

Last NPPES UpdateAugust 4, 2008

✔ NPI 1942295779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OK · 491

3401 W GORE BLVD, Lawton, OK 73505

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Other Identifiers 5

OtherPA004912OK · Medicare Id

Medicaid100206310BOK

Other347459107OK · Dol

Other970007869Railroad Medicare

Medicare UPINR82795

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Doyle G Stark Jr. Pac 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers11 claims12 services$39.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

GABRIEL SCOTT RIVERA

Pharmacist