Organization Active NPI

Star Orthopedics and Spine LLC

  • Neurological Surgery Physician
  • Hollywood, FL
National Provider Identifier
1720707904
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
STAR ORTHOPEDICS AND SPINE LLC
Practice address
3475 Sheridan St Ste 101
Hollywood, FL 33021-3633
Phone
(954) 302-8852
NPI assigned
Aug 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Hillary Koerner
Title
Coo
Phone
(561) 699-6373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

3475 Sheridan St Ste 101
Hollywood, FL 33021-3633

Mailing address

1006 White Dr
Delray Beach, FL 33483-6527
Phone (561) 908-3200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1720707904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 WHITE DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836527",
            "telephone_number": "561-908-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 SHERIDAN ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213633",
            "telephone_number": "954-302-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR ORTHOPEDICS AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "KOERNER",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-699-6373"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.