Little Angel Silver Star LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME44739 Issued in FL

Legal business name

LITTLE ANGEL SILVER STAR LLC

Practice address

4614 S Kirkman Rd
Orlando, FL 32811-2891

Phone

(407) 512-5700

NPI assigned

Sep 20, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Akbar Qureshi, MD

Title

Medical Director

Phone

(407) 512-5700

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Little Angel Silver Star LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Little Angel Silver Star LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Orlando, FL
  • NPI 1669813135
  NPD tax ID
• Little Angles Silver Star, LLC

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1265784425
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Kerkes, MD

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1316943905
  NPD (past)

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1639505795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 S KIRKMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112891",
            "telephone_number": "407-512-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 S KIRKMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112891",
            "telephone_number": "407-512-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ANGEL SILVER STAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "AKBAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-512-5700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME44739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GBA MEDICARE",
            "identifier": "P00397528",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379151307",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Liska Conner, APRN
• Ryan Littell, PA-C
• Jamie Matthew Litteral, PHARMD
• Elizabeth Thomson Litterini, CPNP
• Little Acorn Learning Center
• Little Angel Silver Star LLC
• Little Angels Pediatric Extended Care LLC
• Little Angels Pediatric Extended Care LLC
• Little Angles Silver Star, LLC
• Little Chick LLC

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.