Shane Randall Starr

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

4301106295 Issued in MI

Practice address

9460 S Saginaw Rd Ste D
Grand Blanc, MI 48439-8207

Phone

(810) 733-7741

Fax

(810) 733-8898

NPI assigned

Aug 22, 2007

Last updated

Sep 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

University of South Florida College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sstarr109637@direct.covenanthealthcare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Covenant Medical Center, Inc.

  dba Covenant HealthCare

  • Emergency Medicine Physician
  • Saginaw, MI
  • NPI 1972590412
  Medicare reassignment Care Compare group NPD
• Deckerville Community Hospital Inc

  • Critical Access Hospital
  • Deckerville, MI
  • NPI 1619095718
  Medicare reassignment NPD
• Deckerville Community Hospital, Inc.

  • Family Medicine Physician
  • Deckerville, MI
  • NPI 1164540555
  Medicare reassignment NPD
• Harbor Beach Community Hospital Inc

  dba Scheurer Health - Harbor Beach

  • Critical Access Hospital
  • Harbor Beach, MI
  • NPI 1124089743
  Medicare reassignment NPD
• Hills & Dales General Hospital, Inc.

  • Critical Access Hospital
  • Cass City, MI
  • NPI 1154367001
  Medicare reassignment NPD
• McKenzie Memorial Hospital

  dba McKenzie Health System

  • Critical Access Hospital
  • Sandusky, MI
  • NPI 1497750608
  Medicare reassignment NPD
• Harbor Beach Community Hospital Inc

  dba Scheurer Harbor Beach Physicians Group

  • Family Medicine Physician
  • Harbor Beach, MI
  • NPI 1619059458
  Medicare reassignment
• Marlette Regional Hospital

  • Critical Access Hospital
  • Marlette, MI
  • NPI 1346325214
  Medicare reassignment
• Covenant Medical Center, Inc

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1619412376
  NPD
• Deckerville Community Hospital, Inc

  dba Port Sanilac Healthcare

  • Clinic/Center
  • Port Sanilac, MI
  • NPI 1013799469
  NPD
• Deckerville Community Hospital, Inc.

  • Family Medicine Physician
  • Deckerville, MI
  • NPI 1164818977
  NPD
• Hills & Dales General Hospital, Inc.

  dba Sandusky Rapid Care

  • General Practice Physician
  • Sandusky, MI
  • NPI 1306720529
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center, Inc.

  dba Covenant Healthcare

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  Care Compare affiliation

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1730372913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 S SAGINAW RD STE D",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398207",
            "telephone_number": "810-733-7741",
            "fax_number": "810-733-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 S SAGINAW RD STE D",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398207",
            "telephone_number": "810-733-7741",
            "fax_number": "810-733-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "SHANE",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2011-00006",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301106295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "16141",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730372913",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "238727",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917026",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Stadel, LMSW
• Heaven G Standish
• Nathaniel Jonathan Standish
• Filip Stankiewicz, DO
• Alexandra Nikole Stapleton-Paluch, DO
• Thomas Martin Starzynski, LLP
• Stat Care PC
• Statcare PC
• Mark Steffanina
• Annice Hunter Steigenga, COTA

• Anatomic Pathology & Clinical Pathology Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Anatomic Pathology & Clinical Pathology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.