Northstar LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

NORTHSTAR LLC

Doing business as

Northstar Health LLC

Practice address

1432 Kater St
Philadelphia, PA 19146-1620

Phone

(609) 405-1575

NPI assigned

Dec 2, 2020

Organization subpart

No

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

Authorized official

Name

Raymond Ragland

Title

Owner

Phone

(215) 301-1220

Specialties & licenses 1

Addresses

Other names 1

• Northstar Health LLC Doing business as

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1063017572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 KATER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461620",
            "telephone_number": "609-405-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 KATER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461620",
            "telephone_number": "609-405-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "RAGLAND",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-301-1220"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northstar Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.