Organization Active NPI

Star Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Holland, OH
National Provider Identifier
1114100922
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STAR MEDICAL LLC
Practice address
7300 International Dr
Suite 102
Holland, OH 43528-9411
Phone
(866) 824-0203
Fax
(866) 824-0203
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Marcus Glimore, OT
Title
Owner
Phone
(407) 627-8010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

7300 International Dr
Suite 102
Holland, OH 43528-9411

Mailing address

7300 International Dr
Suite 102
Holland, OH 43528-9412
Phone (866) 824-0203

National Provider Directory

National Provider Directory

Locations

7300 International Dr
Ste 102
Holland, OH 43528
Phone (419) 720-1051

7862 W Central Ave
Ste E
Toledo, OH 43617
Phone (419) 720-1051

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1114100922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 INTERNATIONAL DR",
            "address_2": "SUITE 102",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289412",
            "telephone_number": "866-824-0203",
            "fax_number": "866-824-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 INTERNATIONAL DR",
            "address_2": "SUITE 102",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289411",
            "telephone_number": "866-824-0203",
            "fax_number": "866-824-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "GLIMORE",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-627-8010",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.