NPIMap

Organization Active NPI

Star Medical Clinic, Inc.

  • Preferred Provider Organization
  • Miami, FL
National Provider Identifier
1043525819
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
STAR MEDICAL CLINIC, INC.
Practice address
6112 NW 7TH Ave
Miami, FL 33127-1112
Phone
(786) 360-2381
Fax
(305) 456-4066
NPI assigned
Aug 17, 2010
Last updated
Aug 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Mr. Larry Whitfield Jr.
Title
Presdient (Ceo)
Phone
(443) 804-5364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X FL Primary

Addresses

Primary practice location

6112 NW 7TH Ave
Miami, FL 33127-1112

Mailing address

6112 NW 7TH Ave
Miami, FL 33127-1112
Phone (786) 360-2381

Other identifiers 1

IdentifierTypeStateIssuer
269915000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1043525819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331271112",
            "telephone_number": "786-360-2381",
            "fax_number": "305-456-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331271112",
            "telephone_number": "786-360-2381",
            "fax_number": "305-456-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "WHITFIELD",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESDIENT (CEO)",
        "authorized_official_telephone_number": "443-804-5364",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269915000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.