Star Health Multi-Specialty Group PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

STAR HEALTH MULTI-SPECIALTY GROUP PC

Practice address

451 Health Parkway
Paw Paw, MI 49079

Phone

(269) 657-8300

Fax

(269) 657-8332

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Pamela A Roush, RN BSN

Title

Vice President Corporate Operations

Phone

(269) 655-3000

Specialties & licenses 1

Addresses

Tax ID family

Star Health Multi-Specialty Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Starhealth Multi-Specialty Group, P.C. Pharmacy

  • Pharmacist
  • Paw Paw, MI
  • NPI 1760438378
  NPD tax ID

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396847315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "address_2": "451 HEALTH PARKWAY",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "49079",
            "telephone_number": "269-657-8300",
            "fax_number": "269-657-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HEALTH PARKWAY",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "49079",
            "telephone_number": "269-657-8300",
            "fax_number": "269-657-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR HEALTH MULTI-SPECIALTY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT CORPORATE OPERATIONS",
        "authorized_official_telephone_number": "269-655-3000",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachie Smith, PT
• Nicole Sofranko
• Alejandra Solis, PA-C
• Christy Lynn Southerland, MA, LPC
• Southwestern Michigan Emergency Services, PC
• Star Health Multispecialty Group P.C.
• Starhealth Multi-Specialty Group, P.C. Pharmacy
• Jeffrey Warren Stearns, RN
• Delanie Stec
• Fawn Michelle Stender, OTRL

• Multi-Specialty Clinic/Center in Paw Paw, MI
• Providers in Paw Paw, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.