ERIC WYGANT STARK MD NPI 1750389169

NPI Information

  • NPI: 1750389169
  • Provider Name: ERIC WYGANT STARK, MD
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • Address: 2400 SOUTH ST
    LAFAYETTE, IN
    ZIP 47904
  • Phone: (765) 448-4319

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NPI Details

Eric Wygant Stark, MD is an anatomic pathology and clinical pathology pathology in Lafayette, IN. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Eric Wygant Stark, MD NPI is 1750389169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2400 SOUTH ST
LAFAYETTE, IN
ZIP 47904-027
Phone: (765) 448-4319
Fax: (765) 448-2821

The enumeration date for this NPI number is 7/9/2005 and was last updated on 7/16/2007.

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
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology01030271AINDIANAYes

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
1176600BOTHERINDIANAMEDICARE
2805950EMEDICARE ID-TYPE UNSPECIFIEDINDIANA
3111890EOTHERINDIANAMEDICARE
4CA8380OTHERINDIANARAIL ROAD MEDICARE
5000000082506OTHERINDIANAANTHEM

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: 3/30/2025

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