Gold Star Ancillary Services LLC

Primary specialty

Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X

Legal business name

GOLD STAR ANCILLARY SERVICES LLC

Practice address

416 SE 1St St
Mineral Wells, TX 76067-5333

Phone

(504) 419-3671

NPI assigned

Oct 22, 2021

Last updated

Oct 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Rophail

Title

Managing Member

Phone

(713) 679-4487

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1548924947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131981",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773931981",
            "telephone_number": "504-419-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 SE 1ST ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675333",
            "telephone_number": "504-419-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR ANCILLARY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "ROPHAIL",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "713-679-4487"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Art Specialist/Technologist in Mineral Wells, TX
• Providers in Mineral Wells, TX by specialty
• Medical Art Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.