Starlight Pediatric Primary Care PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

STARLIGHT PEDIATRIC PRIMARY CARE PLLC

Practice address

1215 N Ivy Loop
Casa Grande, AZ 85122-5406

Phone

(520) 510-0087

Fax

(480) 821-9555

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Adebayo O Atolagbe, MDNPI 1891962056

Title

Partner

Phone

(205) 100-0875

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Adebayo Olufemi Atolagbe, M.D.

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1891962056
  NPD Authorized official
• Uchenna George Onyia, MD

  • Pediatrics Physician
  • Casa Grande, AZ
  • NPI 1346482031
  NPD

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1649825282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N IVY LOOP",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225406",
            "telephone_number": "520-510-0087",
            "fax_number": "480-821-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N IVY LOOP",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225406",
            "telephone_number": "520-510-0087",
            "fax_number": "480-821-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT PEDIATRIC PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "ATOLAGBE",
        "authorized_official_first_name": "ADEBAYO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "205-100-0875",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katlyn Spivak
• St Patrick Health Care Services
• Laura Anne Stager, FNP
• Sobeida M Stanford
• Stephanie Stanley, PH
• Starlight Pediatrics Urgent Care, PLLC
• Steady Psychiatric Care and Wellness
• Sheri Steincamp, MS, RD
• Jill Suzanne Steiner
• Tanya Ruth Stenhouse, PHYSICAL THERAPIST

• Pediatrics Physician in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.