Individual provider Active NPI

Amy M Starry, D.O.

  • Orthopaedic Surgery Physician
  • Tamarac, FL
National Provider Identifier
1780798991
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS8384 Issued in FL
Practice address
7541 W Oakland Park Blvd
Tamarac, FL 33319-4909
Phone
(954) 459-4600
Fax
(954) 459-3333
NPI assigned
Aug 18, 2006
Last updated
Nov 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS8384 FL Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X OA9171 CA

Addresses

Primary practice location

7541 W Oakland Park Blvd
Tamarac, FL 33319-4909

Mailing address

7541 W Oakland Park Blvd
Tamarac, FL 33319-4909
Phone (954) 459-4600

Other identifiers 2

IdentifierTypeStateIssuer
W17163OtherMEDICARE GROUP NUMBER
W17163OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20070319000481 FL Practitioner - Orthopedic Surgery 1355444068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OA9171CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All-Pro Orthopedics and Sports Medicine PA Orthopaedic Surgery CurrentSince Apr 26, 2023 Accepting new patients
Derrick Stephan, PA-C Inc. Orthopaedic Surgery PastSince Sep 23, 2024 Accepting new patients
Corona Orthopaedic Associates Medical Group Inc Orthopaedic Surgery Past Accepting new patients
Amy M Starry DO Sports Medicine PastSince Sep 1, 2011 Accepting new patients

Locations

17779 SW 2nd St
Pembroke Pines, FL 33029
Phone (954) 322-1110

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1780798991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7541 W OAKLAND PARK BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194909",
            "telephone_number": "954-459-4600",
            "fax_number": "954-459-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7541 W OAKLAND PARK BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194909",
            "telephone_number": "954-459-4600",
            "fax_number": "954-459-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARRY",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS8384",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "OA9171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W17163",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W17163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.