OrganizationActive
Randolph W. Stark, M.D., PA
NPI 1639354244 · Specialist · Manassas, VA
Randolph W. Stark, M.D., PA is a Specialist organization in Manassas, VA (NPI 1639354244).
Provider details
- NPI number
- 1639354244
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Norma Heinrich, Office Manager(877) 257-9619
- License
- 0101036334 (VA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
10680 Crestwood Dr Ste B
Manassas, VA 20109-4402
Phone: (703) 361-6054
Fax: (703) 330-9095
Street-level locationGet directions
Mailing address
10680 Crestwood Dr Ste B
Manassas, VA 20109-4402
Registry dates
- Enumerated
- 2008-01-02
- Last updated
- 2009-10-20
Frequently asked questions
- What is Randolph W. Stark, M.D., PA's NPI number?
- Randolph W. Stark, M.D., PA's National Provider Identifier (NPI) is 1639354244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Randolph W. Stark, M.D., PA?
- Randolph W. Stark, M.D., PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Randolph W. Stark, M.D., PA located?
- Randolph W. Stark, M.D., PA's practice location on file with NPPES is 10680 Crestwood Dr Ste B, Manassas, VA 20109-4402.
- What is Randolph W. Stark, M.D., PA's phone number?
- The practice phone number listed in the NPPES registry for Randolph W. Stark, M.D., PA is (703) 361-6054.
- Who is the authorized official for Randolph W. Stark, M.D., PA?
- The authorized official listed on Randolph W. Stark, M.D., PA's NPPES record is Norma Heinrich, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Randolph W. Stark, M.D., PA's NPI active?
- Yes — Randolph W. Stark, M.D., PA's NPI (1639354244) is active in the NPPES registry as of the last update on 2009-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.