Logan Stark, MD | |
1000 Blythe Blvd, Charlotte, NC 28203-5812 | |
(704) 355-3181 | |
(704) 355-7047 |
Full Name | Logan Stark |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1000 Blythe Blvd, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235663352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 227563 (North Carolina) | Primary |
Entity Name | Emergency Medicine Professionals Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205880853 PECOS PAC ID: 0446244362 Enrollment ID: O20040413001435 |
Mailing Address | Practice Location Address |
---|---|
Logan Stark, MD 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 355-3181 | Logan Stark, MD 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 355-3181 |
Chelsea Kolshak, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658 | |
Jacob Leedekerken, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 | |
Neha Ray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047 | |
John B Clark Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207 Phone: 704-377-2424 Fax: 704-377-2687 | |
Nilesh K. Patel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2171 | |
Michael Stephen Merrill, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211 Phone: 704-377-2424 Fax: 704-377-2687 | |
Brian Zachary Hedges, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047 |