Star Clinic LLC

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

38152 Issued in AZ

Legal business name

STAR CLINIC LLC

Practice address

14155 N 83Rd Ave Ste 138
Peoria, AZ 85381-5652

Phone

(623) 271-8666

Fax

(623) 271-9229

NPI assigned

Feb 2, 2018

Last updated

Apr 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tara Yeganeh

Title

Practice Manager

Phone

(623) 271-8666

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marisa Christina Cornejo, MD

  • Obstetrics & Gynecology Physician
  • Peoria, AZ
  • NPI 1689178519

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Anthony P Gaddi, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Gilbert, AZ
  • NPI 1942449558
  Medicare reassignment Care Compare group NPD
• Lisa Marie Oneal, WHNP

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1902091556
  Medicare reassignment Care Compare group NPD
• Ali Azadi, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Peoria, AZ
  • NPI 1881810224
  Medicare reassignment Care Compare group
• Jennifer Odle, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1952828956
  Medicare reassignment Care Compare group
• Leigh Pavlik, PA-C

  • Surgical Physician Assistant
  • Mesa, AZ
  • NPI 1184015497
  Medicare reassignment Care Compare group
• Haley Elizabeth Sampsell, PA-C

  • Physician Assistant
  • Tucson, AZ
  • NPI 1407536352
  Medicare reassignment Care Compare group
• Polina Sawyer, M.D

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Peoria, AZ
  • NPI 1245657725
  Medicare reassignment Care Compare group
• Taraneh Yeganeh

  • Pharmacist
  • Louisville, KY
  • NPI 1528571734
  NPD
• Paulo Castaneda, MD

  • Orthopaedic Trauma Physician
  • Phoenix, AZ
  • NPI 1013536945
  NPD (past)

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745712000000",
    "number": "1932608106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850501022",
            "telephone_number": "623-271-8666",
            "fax_number": "623-271-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE STE 138",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815652",
            "telephone_number": "623-271-8666",
            "fax_number": "623-271-9229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3420 S Mercy Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970420",
            "country_code": "US",
            "telephone_number": "623-271-8666",
            "fax_number": "623-271-9229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAR CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A",
        "authorized_official_last_name": "YEGANEH",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "623-271-8666",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "AZ",
            "license": "38152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335672",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole S Stallworth
• Danika Marlynn Stampfel, M.S., CCC-SLP
• Stand-Up MRI of Arizona, LLC
• Trena Melee Stansberry, RN
• Samantha Grace Stapleton, SLP
• Star Surgery Center, LLC
• Starlight Wellness LLC
• Susan Lynn Stefanski, FNP
• Whitney Anne Stefanski, M.S. CCC-SLP
• Elizabeth Amy Steffens, NP

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.