OWEN STARK NPI 1073709531

NPI Information

  • NPI: 1073709531
  • Provider Name: OWEN STARK
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5333 MCAULEY DR
    SUITE 6016
    YPSILANTI, MI
    ZIP 48197
  • Phone: (734) 712-8350

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NPI Details

Owen Stark is a vascular and interventional radiology radiology in Ypsilanti, MI with 22 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Owen Stark NPI is 1073709531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2004

The provider's business location address is:

5333 MCAULEY DR
SUITE 6016
YPSILANTI, MI
ZIP 48197-014
Phone: (734) 712-8350
Fax: (734) 712-8251

The NPI 1073709531 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of abdominal aorta and both leg arteries with contrast (HCPCS:75635)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray lower and sacral spine, 2-3 views bending views (HCPCS:72120)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray series of abdomen with single x-ray of chest (HCPCS:74022)

The enumeration date for this NPI number is 9/19/2007 and was last updated on 7/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology57012650OHIONo
22085R0202XRadiologyDiagnostic RadiologyMD443256PENNSYLVANIANo
32085R0204XRadiologyVascular & Interventional Radiology4301083869MICHIGANYes
42085R0204XRadiologyVascular & Interventional RadiologyMD443256PENNSYLVANIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102628033MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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