Starfish Pediatric ENT, LLC

Primary specialty

Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X

Legal business name

STARFISH PEDIATRIC ENT, LLC

Practice address

110B Springhall Dr
Goose Creek, SC 29445-5335

Phone

(843) 738-0218

Fax

(843) 207-4975

NPI assigned

Jun 15, 2020

Last updated

Aug 10, 2020By 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

George Harris, MD

Title

Owner

Phone

(843) 738-0218

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21887/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1609491737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110B SPRINGHALL DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455335",
            "telephone_number": "843-738-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110B SPRINGHALL DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455335",
            "telephone_number": "843-738-0218",
            "fax_number": "843-207-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH PEDIATRIC ENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-738-0218",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Spateholts
• Miranda Hildred Spurgeon, L.M.T.
• Jason S St Clair, PT
• John Scott Stadalsky, MD
• Star Capital Inc (Goose Creek Manor)
• Kelsey N Steedly, PA
• Ashley N Steigler
• Sarah B Stevens, PH.D.
• Abigail Erin Stone, APRN, FNP-C
• Kenneth M Stramm, OPTICIAN

• Pediatric Otolaryngology Physician in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Pediatric Otolaryngology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.