Stark Street Plaza, LLC
Stark Street Plaza, LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Gresham, OR, holding Type 2 (organization) NPI 1003914243 since 2006. The authorized official on file is Shammai Rockove, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003914243 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Stark Street Plaza, LLC |
| Practice address | 24076 SE STARK ST, SUITE 310, Gresham, OR, 97030 |
| Phone | 5034926510 |
| Fax | 5034926502 |
| Enumeration date | 2006-09-20 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Shammai Rockove |
|---|---|
| Title | Medical Director |
| Phone | 5034926510 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Stark Street Plaza, LLC NPI: 1003914243 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 24076 SE STARK ST, SUITE 310, Gresham, OR, 97030
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720070873 | Shammai Rockove | Individual | Urology Physician | Gresham, OR |
| 1881687945 | Cheryl Springer | Individual | Surgical Physician Assistant | Gresham, OR |
| 1063401198 | Gresham Professional Pharmacy | Organization | Community/Retail Pharmacy | Gresham, OR |
| 1043292311 | Clem Eischen | Individual | Physical Therapist | Gresham, OR |
| 1386619534 | Heather Odell | Individual | Orthopedic Physical Therapist | Gresham, OR |
| 1265407019 | Roya Mansouri | Individual | Otolaryngology Physician | Gresham, OR |
| 1649245499 | Roger Wobig | Individual | Otolaryngology Physician | Gresham, OR |
| 1104875053 | Mountainview Mri LLC | Organization | Physiological Laboratory | Gresham, OR |
Verify this record
Cross-check NPI 1003914243 against the authoritative CMS record: view Stark Street Plaza, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Stark Street Plaza, LLC?
What is the NPI number for Stark Street Plaza, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.