Star Community Health, Inc
Organization Active NPI General Practice Physician · Bethlehem, PA
NPI 1033686159 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1033686159
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- STAR COMMUNITY HEALTH, INC
- Practice address
- 511 E 3Rd St Ste 202
Bethlehem, PA 18015-2180 - Phone
- (484) 526-4700
- Fax
- (833) 828-1813
- NPI assigned
- Oct 26, 2018
- Organization subpart
- No
Authorized official
- Name
- Sue Chiavaroli
- Title
- Supervisor
- Phone
- (484) 526-3569
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 2
Practitioners 358
-
James N. Anasti, M.D.
-
Ronald J Buckley, MD
-
Mame Saye Cisse, MD
-
Christopher B. Gilbert, M.D.
-
Farhaan Hafeez, MD
-
Jacqueline Heffner, CRNP
-
John T Hippen, M.D.
-
Courtney Humphrey, M.D.
-
Nguyet-Cam Lam, MD
-
Elizabeth K Lamb, MD
-
Robert C Langan, MD
-
Angela Latorre, CRNP
-
Tu Banhat Le, DO
-
Brandon Bryce Martin, M.D.
-
Lauren McKay, DO
-
Alan Peter Muto, DO
-
Laura Nicole Oswald, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Star Community Health Inc |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2020 |
| Star Community Health Inc |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2020 |
| Star Community Health Inc |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190206002009 | PA | Part B Supplier - Clinic/Group Practice | 7618215237 |
Receives reassigned benefits from 343 practitioners 1 other NPI on this enrollment Practice locations: Bethlehem, PA; Tamaqua, PA; Ringtown, PA; Lehighton, PA; Lansford, PA; Easton, PA; Allentown, PA |
National Provider Directory
Locations
450 Chew St
#101
Allentown, PA 18102
Phone (610) 776-4888
450 Chew St
#204
Allentown, PA 18102
Phone (610) 776-4758
2830 Easton Ave
Bethlehem, PA 18017
Phone (484) 526-3555
220 Ferry St
Easton, PA 18042
Phone (484) 503-8160
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
511 E 3Rd St Ste 202
Bethlehem, PA 18015-2180
Mailing address
511 E 3Rd St Ste 202
Bethlehem, PA 18015-2180
Phone (484) 526-4700
Other providers in Bethlehem, PA
- Noel Kelly Staniszewski
- Stanley I Stein Richard N Stein
- Logan Thomas Stano
- Nicole Stansbury
- Molly Genelle Stapleton-Bradley
- Star Community Health, Inc
- Star Wellness Center, Inc
- Star Wellness Center, Inc
- Star Wellness Center, Inc
- Star Wellness Center, Inc
All providers in Bethlehem, PA · General Practice Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.