STAR MEDICAL CENTER, LLC (NPI# 1184057309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184057309 |
| Entity Type | Organization |
| Organization Name | STAR MEDICAL CENTER, LLC |
| Other Organization Name | STAR MEDICAL CENTER |
| Practice Address |
4100 Mapleshade Lane Plano TX 75093 |
| Mailing Address |
1900 Enchanted Way Suite 100 Grapevine TX 76051 |
| Practice Telephone | 9722651050 |
| Practice Fax Number | 9722651252 |
| Mailing Telephone | 6822235552 |
| Mailing Fax Number | 6822235560 |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | JORDAN FOWLER (CEO) |
| Authorized Official Telephone | 9172166285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | TX | Hospitals |
| Other Name | Type Code |
|---|---|
| Legent Hospital for Special Surgery | Doing Business As Name - Organization |
| STAR Medical Center | Doing Business As Name - Organization |
| Street Address |
4100 MAPLESHADE LANE |
| City | PLANO |
| State | TX |
| Zip Code | 75093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013434711 | Landmark of Plano Specialty Hospital, LLC | Special Hospital | 1621 Coit Rd, Plano, TX 75075-6141 | 2017-08-24 |
| 1427322163 | Pirf Operations LLC | Special Hospital | 2301 Marsh Ln, Suite 200, Plano, TX 75093-8497 | 2012-02-27 |
| 1265431308 | Ihs Acquisition No 174 Inc | Special Hospital | 1621 Coit Rd, Plano, TX 75075-6141 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457839516 | Providence Clearlake Specialty Hospital LLC | Special Hospital | 1351 Clearlake City Blvd, Houston, TX 77062 | 2018-08-01 |
| 1942795133 | Ascension Seton | Special Hospital | 630 Highway 71 W, Bastrop, TX 78602-4234 | 2018-06-29 |
| 1528557881 | The Hospital At I-10 | Special Hospital | 9430 Old Katy Road, Suite 100, Houston, TX 77055 | 2018-05-02 |
| 1962900472 | Specialty Hospital, LLC | Special Hospital | 1000 S Beckham Ave Fl 5, Tyler, TX 75701-1908 | 2018-01-30 |
| 1821540824 | Emergis Er Hulen, LLC | Special Hospital | 5900 S Hulen St, Ft Worth, TX 76132-4816 | 2016-10-26 |
| 1831645415 | Eminent Medical Center Operating LLC | Special Hospital | 1351 W. President George Bush Hwy., Richardson, TX 75080 | 2016-09-01 |
| 1922461623 | Lauren Michelle Williams | Special Hospital | 9718 Katy Fwy, Houston, TX 77055-6209 | 2016-03-30 |
| 1750749966 | First Baptist Medical Center, LLC | Special Hospital | 8111 Meadow Road, Dallas, TX 75231 | 2016-02-02 |
| 1568834455 | Exemplify Surgical First Assisting | Special Hospital | 3033 Bardin Rd, 1011, Grand Prairie, TX 75052-3858 | 2015-10-30 |
| 1588049076 | Michael Joseph Metcalfe | Special Hospital | 2222 Maroneal St Unit 2013, Houston, TX 77030-3255 | 2015-07-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.