STAR PUPIL (NPI# 1780902320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780902320 |
| Entity Type | Organization |
| Organization Name | STAR PUPIL |
| Practice Address |
20201 N Scottsdale Healthcare Dr #150 Scottsdale AZ 85255-4134 |
| Practice Telephone | 4804337185 |
| Practice Fax Number | 4805136923 |
| Mailing Telephone | 4804337185 |
| Mailing Fax Number | 4805136923 |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2013-05-07 |
| Authorized Official Name | MR. JAMES L PLOTNIK (OWNER) |
| Authorized Official Telephone | 4804337185 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
AZ21532 | AZ | Eye and Vision Services Providers |
| Street Address |
20201 N SCOTTSDALE HEALTHCARE DR #150 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-4134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811998230 | Gary Craig Mallis | Pediatrics | 20201 N Scottsdale Healthcare Dr, Suite 270, Scottsdale, AZ 85255-4134 | 2005-08-09 |
| 1578094397 | Clear Dermatology & Aesthetics Center | Nursing Care | 20201 N Scottsdale Healthcare Dr, Suite 260, Scottsdale, AZ 85255-4134 | 2017-03-23 |
| 1487013074 | Leigha Williams | Nurse Practitioner | 20201 N Scottsdale Healthcare Dr, Suite 280, Scottsdale, AZ 85255-4134 | 2016-02-11 |
| 1215307368 | Wesley Garth Wilson | Plastic Surgery | 20201 N Scottsdale Healthcare Dr, Suite120, Scottsdale, AZ 85255-4134 | 2015-10-01 |
| 1003171109 | Nirav Patel | Dermatology | 20201 N Scottsdale Healthcare Dr, Ste 260, Scottsdale, AZ 85255-4140 | 2012-07-05 |
| 1083978753 | Katherine Marie Duncan | Physician Assistant | 20201 N Scottsdale Healthcare Dr, Suite 260, Scottsdale, AZ 85255 | 2012-06-27 |
| 1215293782 | Kelly Cathryn Pearson | Dermatology | 20201 N Scottsdale Healthcare Dr, Ste 260, Scottsdale, AZ 85255-4140 | 2012-04-09 |
| 1871723866 | Az Ortho Pa Pllc | Physician Assistant | 20201 N Scottsdale Healthcare Dr, Suite 280, Scottsdale, AZ 85255-4134 | 2009-07-23 |
| 1063642304 | Arizona Orthopaedic Foot & Ankle Center, LLC | Orthopaedic Surgery | 20201 N Scottsdale Healthcare Dr, Ste 280, Scottsdale, AZ 85255-4134 | 2009-07-21 |
| 1396912911 | Samuel Steven Bailey | Otolaryngology | 20201 N Scottsdale Healthcare Dr, Ste 230, Scottsdale, AZ 85255-4134 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740431378 | Prescott Eye Care & Surgical Center, PC | Technician/Technologist | 3769 Crossing Drive, Prescott, AZ 86305-1606 | 2008-10-01 |
| 1265614937 | Placido LLC | Technician/Technologist | 13624 W Camino Del Sol Ste 200, Sun City West, AZ 85375-3401 | 2007-12-04 |
| City | SCOTTSDALE |
| Zip Code | 85255 |
Please comment or provide details below to improve the information on STAR PUPIL.
| 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.