Linda M Starck-McLean, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

190609 Issued in NY

Practice address

6692 Middle Rd
Sodus, NY 14551-9602

Phone

(315) 483-3205

Fax

(315) 483-3232

NPI assigned

Aug 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023021649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6692 MIDDLE RD",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145519602",
            "telephone_number": "315-483-3205",
            "fax_number": "315-483-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6692 MIDDLE RD",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145519602",
            "telephone_number": "315-483-3205",
            "fax_number": "315-483-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARCK-MCLEAN",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "190609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01413941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra L Demarree DMD PLLC
• Sodus Central School District
• Ambalavanar Somaskanda, M.D.
• Kristin Southwick, PHARMD
• Paige Stanley, NP
• Steven E Gierer DDS PC
• Barry Thorne, OD
• Town of Sodus
• Mike Traikov, DPT
• Loren E. Vandusen, D.C.

• Internal Medicine Physician in Sodus, NY
• Providers in Sodus, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.