Dr. Randolph W Stark , MD PA
Specialist • Manassas, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Randolph Stark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Randolph Stark, MD PA was a registered Specialist practicing in Manassas, VA. Throughout an active medical career spanning 19 years, Dr. Stark provided care at the practice location at 10680 CRESTWOOD DR STE B until profile deactivation on 2024-04-17.
Practice Location & Contact Primary Location
10680 Crestwood Dr Ste B
Manassas, VA 201094402
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Manassas, VA
Practicing in Manassas, VA (878 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 17, 2024
NPI status registered as active in NPPES database
Registered at 10680 CRESTWOOD DR STE B, MANASSAS, VA 201094402 (Tel: 7033616054)
Registered at 10680 CRESTWOOD DR STE B, MANASSAS, VA 201094402 (Tel: 7033616054)
Recorded as RANDOLPH STARK, M.D. PA
Specialist (License #0101036334 in VA)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Dr. Randolph Stark
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
10680 Crestwood Dr Ste B
Manassas, VA 201094402
Phone: 7033616054
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.