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Dr. Wayne Nelson Stark JR.

Pediatrician Pediatric Emergency Doctor

4001 Dutchmans Ln
Louisville , Kentucky 40207-4714

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Image

Dr. Wayne Nelson Stark JR.

Pediatrician Pediatric Emergency Doctor

4001 Dutchmans Ln
Louisville , Kentucky 40207-4714

(502) 272-5116

Write a Review Save Call

Dr. Wayne Nelson Stark JR.

Pediatrician Pediatric Emergency Doctor

4001 Dutchmans Ln
Louisville , Kentucky 40207-4714

(502) 272-5116 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatrician
  • Pediatric Emergency Doctor

Languages spoken

  • English

Location

4001 Dutchmans Ln Louisville , Kentucky 40207-4714

First Address

  • Dr. Wayne Nelson Stark JR.
  • Po Box 776879
  • Chicago, IL
  • Zip : 60677-6351
  • Fax : (502) 272-5116
  • Phone : (502) 588-9490

Second Address

  • Dr. Wayne Nelson Stark JR.
  • 4001 Dutchmans Ln
  • Louisville, KY
  • Zip : 40207-4714
  • Fax : (502) 559-4605
  • Phone : (502) 599-3930

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FAQs


Where did Dr. Wayne Nelson Stark JR. attend graduate school?

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Where did Dr. Wayne Nelson Stark JR. do his residency?

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Where did Dr. Wayne Nelson Stark JR. do his fellowship?

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Is Dr. Wayne Nelson Stark JR. board certified?

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What type of doctor is Dr. Wayne Nelson Stark JR.

Pediatric Emergency Doctor

In what state does Dr. Wayne Nelson Stark JR. practice in?

Kentucky

Where is Dr. Wayne Nelson Stark JR.’s practice located?

4001 Dutchmans Ln , Louisville, Kentucky, 40207-4714

What is Dr. Wayne Nelson Stark JR.’s gender?

Male

Is Dr. Wayne Nelson Stark JR. a sole practitioner?

No

Is Dr. Wayne Nelson Stark JR. accepting new patients?

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What languages does Dr. Wayne Nelson Stark JR. speak?

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Does Dr. Wayne Nelson Stark JR. accept insurance?

Yes, Dr. Wayne Nelson Stark JR. accepts insurance

Does Dr. Wayne Nelson Stark JR. offers telemedicine?

Dr. Wayne Nelson Stark JR. has not indicated if he offers telemedicine

What is Dr. Wayne Nelson Stark JR.’s professional license number?

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What is Dr. Wayne Nelson Stark JR.’s NPI number?

1215246202

Does Dr. Wayne Nelson Stark JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208000000X Pediatrician 45095 KY
Y 2080P0204X Pediatric Emergency Doctor 45095 KY
N 2080P0204X Pediatric Emergency Doctor ME123631 FL

National Provider Identifier

NPI 1215246202
Provider Name Dr. Wayne Nelson Stark JR.
First Address Chicago, IL 60677-6351
Second Address Louisville, KY 40207-4714
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 25/09/2010
Last Update Date 29/04/2021

NPI Footnotes


What is the National Provider Identifier (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

The code describing 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 = doinq 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 NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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