Star ER, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

STAR ER, LLC

Practice address

7007 Indiana Ave
Lubbock, TX 79413-6113

Phone

(806) 701-4141

Fax

(806) 701-4147

NPI assigned

Dec 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Lewis, MDNPI 1811197163

Title

President

Phone

(806) 701-4141

Specialties & licenses 1

Addresses

Other names 1

• STAR ER Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670159

Legal name

STAR ER

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Apr 28, 2020

Last certification

Apr 28, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

7007 Indiana Ave
Lubbock, TX 79413

Hospital certification: CCN 670313

Legal name

STAR ER

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Nov 25, 2020

Last certification

Nov 25, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

7007 Indiana Ave
Lubbock, TX 79413

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Ryan Lewis, M.D.

  • Emergency Medicine Physician
  • Augusta, GA
  • NPI 1811197163
  NPD (past) Authorized official

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1093180804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136113",
            "telephone_number": "806-701-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136113",
            "telephone_number": "806-701-4141",
            "fax_number": "806-701-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR ER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-701-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebekah Stalter, M.D.
• Raela Stander, CPNP-PC
• Brad Lane Stanford, PHARM.D.
• Kathleen Stanley, M.D.
• Star Emergency Group, PLLC
• Star Medical Equipment, Inc
• Dantri Stark, CRNA
• Bobbie Rene Starkey, PH.D., BCBA
• Stephanie Sue Starkovich, C.C.P.
• Joel Dow Starnes III, M.D., PH.D.

• Emergency Care Clinic/Center in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.