Organization Active NPI

Star Medical Transport LLC

  • Ambulatory Family Planning Facility
  • Oklahoma City, OK
National Provider Identifier
1093390643
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
STAR MEDICAL TRANSPORT LLC
Practice address
10716 Cruces Dr
Oklahoma City, OK 73162-8204
Phone
(405) 400-6094
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Mr. Emmanuel Ezekwesili Nebe
Title
Owner
Phone
(405) 400-6094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X Primary

Addresses

Primary practice location

10716 Cruces Dr
Oklahoma City, OK 73162-8204

Mailing address

10716 Cruces Dr
Oklahoma City, OK 73162-8204
Phone (405) 400-6094

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1093390643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10716 CRUCES DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731628204",
            "telephone_number": "405-400-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10716 CRUCES DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731628204",
            "telephone_number": "405-400-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "NEBE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "EZEKWESILI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-400-6094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.