Vip Starnetwork, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

VIP STARNETWORK, LLC

Practice address

4904 Alameda Blvd NE Ste B
Albuquerque, NM 87113-2385

Phone

(505) 389-2279

Fax

(505) 212-0553

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Johonniuss H Chemweno

Title

Ceo

Phone

(505) 389-2279

Specialties & licenses 5

Addresses

Other names 1

• VIP STARNETWORK, LLC Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY, CA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Joshua T Carothers, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Albuquerque, NM
  • NPI 1407020597
  NPD

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1104442698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90056",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871990056",
            "telephone_number": "505-389-2279",
            "fax_number": "505-212-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 ALAMEDA BLVD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132385",
            "telephone_number": "505-389-2279",
            "fax_number": "505-212-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP STARNETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "CHEMWENO",
        "authorized_official_first_name": "JOHONNIUSS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-389-2279"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.INVERSEMED.COM",
            "affiliation": "N",
            "endpointDescription": "WEB ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CONTACT FIELD",
            "address_1": "4904 Alameda Blvd NE Ste B",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871132385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "VIP STARNETWORK, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vicki Lynn Perryman Vining, M.S.CCC-SLP
• Richard J Vinnay, LISW
• Haley Vinson
• Landon Vinson, MD
• Vintage Compounding Pharmacy LLC
• Salma Josephine Vir-Banks, LMHC
• Vanessa Nicole Viramontes
• Visavis Health Care Medical Group of NM LLC
• Srishti Singh Visen, MD
• Visionary Diagnostics LLC

• Medical Specialty Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Medical Specialty Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.