Star Medical Equipment, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0044528 Issued in TX

Legal business name

STAR MEDICAL EQUIPMENT, INC

Practice address

11912 Slide Rd
Lubbock, TX 79424-7445

Phone

(806) 762-6777

Fax

(806) 762-6780

NPI assigned

Sep 23, 2005

Last updated

Oct 22, 2009By 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

Mr. Gerald Lynn Woolam Jr.

Title

President

Phone

(806) 762-6777

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1578559654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247445",
            "telephone_number": "806-762-6777",
            "fax_number": "806-762-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247445",
            "telephone_number": "806-762-6777",
            "fax_number": "806-762-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "WOOLAM",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-762-6777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0044528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017202501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raela Stander, CPNP-PC
• Brad Lane Stanford, PHARM.D.
• Kathleen Stanley, M.D.
• Star Emergency Group, PLLC
• Star ER, LLC (Star ER)
• Dantri Stark, CRNA
• Bobbie Rene Starkey, PH.D., BCBA
• Stephanie Sue Starkovich, C.C.P.
• Joel Dow Starnes III, M.D., PH.D.
• Brittany Starns

• Durable Medical Equipment & Medical Supplies in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.