North Star Critical Care LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

NORTH STAR CRITICAL CARE LLC

Practice address

16356 State Route 267
East Liverpool, OH 43920-3932

Phone

(330) 386-9111

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Lea Lerussi, PARAMEDIC

Title

Cfo

Phone

(330) 386-9111

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1558413476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16356 STATE ROUTE 267",
            "address_2": "P.O. BOX 2011",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439203932",
            "telephone_number": "330-386-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16356 STATE ROUTE 267",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439203932",
            "telephone_number": "330-386-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR CRITICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "LERUSSI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-386-9111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009495",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102386522 0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2740690",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thu Nguyen, DDS
• Gretchen Leigh Nickell, DO
• Pukhraj Nijhar, M.D.
• Teja Srinivas Niruogi, MD
• Mary Ann Novak
• James Novobilsky, DO
• Anastasia Hope Novotny
• Rohan Kumar Nuthakki
• Jessica A Oates, LPCC

• Land Ambulance in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.