Ryan Stark

M.D. | Pediatric Critical Care Medicine | Male

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Complete Profile:

Ryan Stark basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Critical Care Medicine
Provider Name :	Ryan Stark
Credential :	M.D.
Gender :	Male

Business Address:

Ryan Stark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2200 Childrens Way, 5121 Doctors' Office Tower Nashville, TN, 37232-9075 United States
Phone Number :	615-936-3968

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1831317395
NPI Entity Type :	Individual
First Enrolment Date :	23 Apr, 2007
Last Updated On :	28 Mar, 2022

Medicare Participation:

Ryan Stark participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1456592336
Medicare Enrollment ID :	I20130719000398
Primary Specialty :	Critical Care (intensivists)
Medical School :	George Washington University School Of Medicine
Graduation Year :	2006
Accepts Medicare?	Yes. Ryan Stark accepts medicare insurance.

Group Practice Association:

Ryan Stark is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ryan Stark is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Vanderbilt University Medical Center	5092023416	2611	2410 Franklin Pike Nashville, TN - 372042227 Ph: 6159365858	Yes
Vanderbilt University Medical Center	5092023416	2611	2410 8th Ave S Nashville, TN - 372042490 Ph: 6153435700	Yes
Vanderbilt University Medical Center	5092023416	2611	2608 8th Ave S Nashville, TN - 372042584	Yes
Vanderbilt University Medical Center	5092023416	2611	2603 Bransford Ave Nashville, TN - 372042811 Ph: 6152598755	Yes
Vanderbilt University Medical Center	5092023416	2611	2694 Fessey Ct Nashville, TN - 372042813 Ph: 6152598755	Yes
Vanderbilt University Medical Center	5092023416	2611	719 Thompson Ln Nashville, TN - 372043609 Ph: 6153223000	Yes
Vanderbilt University Medical Center	5092023416	2611	4560 Trousdale Dr Suite 101 Nashville, TN - 372044538	Yes
Vanderbilt University Medical Center	5092023416	2611	1211 Medical Ctr Dr Nashville, TN - 372320004 Ph: 6153225000	Yes
Vanderbilt University Medical Center	5092023416	2611	1215 21st Ave S Nashville, TN - 372320015 Ph: 6153438332	Yes
Vanderbilt University Medical Center	5092023416	2611	1500 Medical Ctr Dr Nashville, TN - 372320016 Ph: 6153224751	Yes
Vanderbilt University Medical Center	5092023416	2611	2220 Pierce Ave Nashville, TN - 372320021 Ph: 6159368422	Yes
Vanderbilt University Medical Center	5092023416	2611	2311 Pierce Ave Nashville, TN - 372320025 Ph: 6159362020	Yes
Vanderbilt University Medical Center	5092023416	2611	1301 Medical Ctr Dr Nashville, TN - 372320028 Ph: 6153225000	Yes
Vanderbilt University Medical Center	5092023416	2611	2200 Childrens Way Nashville, TN - 372320034 Ph: 6159361000	Yes
Vanderbilt University Medical Center	5092023416	2611	410 24th Ave S Nashville, TN - 372320038 Ph: 6153221822	Yes
Vanderbilt University Medical Center	5092023416	2611	6000 Medical Ctr E - N Tower Nashville, TN - 372322350 Ph: 6159363636	Yes
Vanderbilt University Medical Center	5092023416	2611	1301 22nd Ave S Nashville, TN - 372325100 Ph: 6153223000	Yes
Vanderbilt University Medical Center	5092023416	2611	3601 The Vanderbilt Clinic Nashville, TN - 372325100 Ph: 6153223000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ryan Stark are as mentioned. Primary taxonomy code for Ryan Stark, M.D. is 2080P0203X (Pediatrics Pediatric Critical Care Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	MD49976	TN
2080P0203X	Pediatrics Pediatric Critical Care Medicine	Yes	49976	TN

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3841 Green Hills Village Dr Ste 200 Nashville, TN, 37215-2691 United States
Phone Number :	615-936-2000

Business Location:

Patients can refer following map for directions to Ryan Stark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.