Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Randolph W. Stark, MD, PA

Organization Specialist · NPI 1639354244

Randolph W. Stark, MD, PA provides Specialist services in Manassas, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10680 Crestwood Dr Ste B
Manassas, VA 20109-4402 Not confirmed with CMS for 16 years — call before visiting
Phone: (703) 361-6054
Fax: (703) 330-9095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0101036334 (VA)

Record details

NPI number1639354244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Norma Heinrich — Office Manager · (877) 257-9619
NPI enumeratedJanuary 2, 2008
Last updated in NPPESOctober 20, 2009
Mailing address10680 Crestwood Dr Ste B, Manassas, VA 20109-4402

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