Michael J Star (NPI# 1417246018, PAC ID# 4082927751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1417246018 |
| PAC ID by PECOS | 4082927751 |
| Professional Enrollment ID | I20160615000076 |
| Full Name | Michael J Star |
| Organization Legal Name | INDIANA CLINIC-NEUROLOGY, LLC |
| Address |
1050 Wishard Blvd Rg 6th Flr Indianapolis IN 46202-2872 |
| Phone Number | 3176307004 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 3678626140 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150056 | INDIANA UNIVERSITY HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1050 Wishard Blvd Rg 6th Flr, Indianapolis, IN 46202-2872 | 3176307004 | INDIANA CLINIC-NEUROLOGY, LLC |
| 1050 Wishard Blvd Rg 6th Flr, Iu Hlth Phys Neurology, Indianapolis, IN 46202-2872 | 3176307004 | INDIANA CLINIC-NEUROLOGY, LLC |
| Organization Legal Name | INDIANA CLINIC-NEUROLOGY, LLC |
| Physicians | 68 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Zauber | Neurology | Indiana Clinic-neurology, LLC | 350 S Landmark Ave, Bloomington, IN 47403-5001 |
| Lisa H Smith | Neurology | Indiana Clinic-neurology, LLC | 1115 N Ronald Regan Pkwy, Iu Health Physicians, Avon, IN 46123-6910 |
| Vicenta Salanova | Neurology | Indiana Clinic-neurology, LLC | 350 S Landmark Ave, Bloomington, IN 47403-5001 |
| Julie M Connolly | Nurse Practitioner | Indiana Clinic-neurology, LLC | 350 S Landmark Ave, Bloomington, IN 47403-5001 |
| Michael W Risinger | Neurology | Indiana Clinic-neurology, LLC | 350 S Landmark Ave, Bloomington, IN 47403-5001 |
| Leslye G Fisher | Nurse Practitioner | Indiana Clinic-neurology, LLC | 350 S Landmark Ave, Bloomington, IN 47403-5001 |
| David Harvey | Neurology | Indiana Clinic-neurology, LLC | 1115 N Ronald Regan Pkwy, Iu Health Physicians, Avon, IN 46123-6910 |
| Christopher William James | Neurology | Indiana Clinic-neurology, LLC | 350 S Landmark Ave, Bloomington, IN 47403-5001 |
| Dragos Sabau | Neurology | Indiana Clinic-neurology, LLC | 350 S Landmark Ave, Bloomington, IN 47403-5001 |
| Omkar N Markand | Neurology | Indiana Clinic-neurology, LLC | 350 S Landmark Ave, Bloomington, IN 47403-5001 |
| Street Address |
1050 WISHARD BLVD RG 6TH FLR |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46202-2872 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aline I Hamati | Neurology | Indiana Clinic-neurology, LLC | 1050 Wishard Blvd Rg 6th Flr, Indianapolis, IN 46202-2872 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha N Jahnke | Optometry | 640 E Michigan St, Suite B, Indianapolis, IN 46202-0007 | |
| Elizabeth Ann Collins | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Julie D Dunlap | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Gabriel M Krause | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Jian Ye | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Anne E Cossu | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Molly Colgan Gerety | Certified Registered Nurse Anesthetist (crna) | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Alex J Serafin | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Senthilkumar Sadhasivam | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Donal P Dunne | Gastroenterology | Meridian Medical Group PC | 1801 N Senate Blvd, Suite 700, Indianapolis, IN 46202-1177 |
| Find all physicians in zip 46202 | |||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
| Specialty | NEUROLOGY |
| City + Specialty | INDIANAPOLIS + NEUROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.