OrganizationActive
Stark Industries Medical
NPI 1194047282 · Surgical Physician Assistant · Las Vegas, NV
Provider details
- NPI number
- 1194047282
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Brian Stark, President(702) 250-9022
- License
- PA1068 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6647 Brooklyn Heights St
Las Vegas, NV 89166-8020
Phone: (702) 250-9022
Fax: (702) 685-6896
Street-level locationGet directions
Mailing address
6647 Brooklyn Heights St
Las Vegas, NV 89166-8020
Registry dates
- Enumerated
- 2010-02-17
- Last updated
- 2010-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.