Star Choice Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

STAR CHOICE PEDIATRICS

Practice address

6785 Business Pkwy Ste 101
Elkridge, MD 21075-6353

Phone

(347) 294-5166

NPI assigned

Jun 30, 2023

Organization subpart

No

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

Authorized official

Name

Kinan Knaish, MD

Title

Ceo

Phone

(347) 294-5166

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ijeoma Victoria Okonkwo

  • Family Nurse Practitioner
  • Elkridge, MD
  • NPI 1023625381
  NPD (past)

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1063199123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6785 BUSINESS PKWY STE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756353",
            "telephone_number": "347-294-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6785 BUSINESS PKWY STE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756353",
            "telephone_number": "347-294-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CHOICE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "KNAISH",
        "authorized_official_first_name": "KINAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-294-5166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speech Prints
• Barbara A. Spencer, CRNP
• Carolyn Spencer
• Susan A Spencer, RN
• Andrew K Stanton, MSW, LCSW-C
• Susan Diane Stern, OTR
• Stevenson Psychological Associates LLC
• Janice Elaine Stevenson, PH.D.
• Still Waters Therapeutic Services
• Traci Stokes, FNP-C

• Pediatrics Physician in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.