Star City Medical Clinic., PC

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

Legal business name

STAR CITY MEDICAL CLINIC., PC

Practice address

1620 S 70TH St
101
Lincoln, NE 68506-1563

Phone

(402) 484-6080

NPI assigned

Apr 13, 2010

Organization subpart

No

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

Authorized official

Name

Wasim M Chughtai, M.D

Title

President

Phone

(402) 484-6080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

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

• Wasim W Chughtai, M.D.

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1154486306
  Medicare reassignment NPD

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1346566593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S 70TH ST",
            "address_2": "101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061563",
            "telephone_number": "402-484-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S 70TH ST",
            "address_2": "101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061563",
            "telephone_number": "402-484-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CITY MEDICAL CLINIC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "CHUGHTAI",
        "authorized_official_first_name": "WASIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-484-6080",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Dee Stansell
• Nicole Kay Stanton
• Rebecca J Stapler
• Star Anesthesia, PC
• Star City Cosmetic Surgery LLC
• Star City Surgical, P.C.
• Cheryl Jeanne Stara, LMHP
• Jean Starita
• Stark and Johnson LLC
• Stark and Johnson LLC

• Adolescent Medicine (Internal Medicine) Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Adolescent Medicine (Internal Medicine) Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.