Medstar, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

501035 Issued in MI

Legal business name

MEDSTAR, INC.

Practice address

380 N Gratiot Ave
Clinton Township, MI 48036-3123

Phone

(586) 783-0510

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Boal

Title

Billing Supervisor

Phone

(586) 468-6510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Henry Ford Macomb Hospital Corporation

  • Psychologist
  • Clinton Township, MI
  • NPI 1992848972

  Member Of

  NPD member
• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1316938327

  Member Of

  NPD member

Locations

Practitioners 1

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

• Ryan Keith Kurylo, BA, EMT-P/FTO

  • Paramedic
  • Flint, MI
  • NPI 1851159107
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1124056296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N GRATIOT AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363123",
            "telephone_number": "586-783-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N GRATIOT AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363123",
            "telephone_number": "586-783-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "BOAL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "586-468-6510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "501035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa M Means-Looney, LLMSW
• Shelby Hope Measel
• Med Express Inc
• Andrea De la Caridad Medero-Stromwall, DO
• Medigo Transportation LLC
• Paul Andrew Meek, PA-C
• Alexa Meier
• Ronald L Meisel, D.O.
• Carine Rae Meldrum, PA-C
• Joseph John Memminger III, MDPH.D

• All providers in Clinton Township, MI
• Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.