Five Star Healthcare, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

FIVE STAR HEALTHCARE, LLC

Practice address

535 Woodlow Rd
Niceville, FL 32578-2129

Phone

(202) 427-5554

NPI assigned

Apr 26, 2017

Organization subpart

No

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

Authorized official

Name

Sunday Laird, PA

Title

Physician Assistant

Phone

(202) 427-5557

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1720513856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 WOODLOW RD",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782129",
            "telephone_number": "202-427-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 WOODLOW RD",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782129",
            "telephone_number": "202-427-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "LAIRD",
        "authorized_official_first_name": "SUNDAY",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "202-427-5557",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Niceville, FL
• Providers in Niceville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.