Little Angel Silver Star LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

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

Fax

(800) 752-1493

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Micahel J Kerkes, M.D

Title

Staff Doctor

Phone

(407) 512-5700

Specialties & licenses 1

Addresses

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

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1639505795
  NPD tax ID
• Little Angles Silver Star, LLC

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

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1669813135",
    "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",
            "fax_number": "800-752-1493"
        },
        {
            "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",
            "fax_number": "800-752-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ANGEL SILVER STAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "KERKES",
        "authorized_official_first_name": "MICAHEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "STAFF DOCTOR",
        "authorized_official_telephone_number": "407-512-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME44739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Little House Pediatrics L.L.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.