FIVE STAR PHYSICIAN SERVICES, LLC (NPI# 1083654479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083654479 |
| Entity Type | Organization |
| Organization Name | FIVE STAR PHYSICIAN SERVICES, LLC |
| Practice Address |
9715 Healthway Drive Berlin MD 21811 |
| Mailing Address |
P.o. Box 2613 Salisbury MD 21802-2613 |
| Practice Telephone | 4435485700 |
| Practice Fax Number | 4435485705 |
| Mailing Telephone | 4435485700 |
| Mailing Fax Number | 4435485705 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2016-03-14 |
| Authorized Official Name | MS. RACHEL SETTING (OPERATIONS MANAGER) |
| Authorized Official Telephone | 4102790317 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 539702400 | 05 | |
| DC | 027430900 | 05 |
| Street Address |
9715 HEALTHWAY DRIVE |
| City | BERLIN |
| State | MD |
| Zip Code | 21811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306091368 | Sabrina M Wells | Nurse Practitioner | 9715 Healthway Drive, Berlin, MD 21811 | 2008-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295990570 | Abhishek Chandrakant Sawant | Internal Medicine | 314 Franklin Ave Ste 301, Berlin, MD 21811-1238 | 2008-07-25 |
| 1962675124 | Jain Medical Group PC | Internal Medicine | 44 Central St Ste 1, Berlin, MA 01503-1225 | 2008-04-09 |
| 1821298761 | Mosha Mashaun Peters-harris | Internal Medicine | 116 Parkside Cir, Berlin, MD 21811-1635 | 2007-07-19 |
| 1003857178 | Laura Allen Felsted | Internal Medicine | 130 Fisher Rd Ste 3, Mountainview Medical, Berlin, VT 05602-9516 | 2006-06-09 |
| 1275503997 | Jeffrey Kent Zibell | Internal Medicine | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2006-01-25 |
| 1235111303 | A. Michele Ricard | Internal Medicine | 124 Pleasant Street, Berlin, MA 01503-2070 | 2005-11-15 |
| 1902895444 | Munna Garg | Internal Medicine | 11107 Racetrack Road, Berlin, MD 21811 | 2005-10-18 |
| 1962498287 | Marilyn J Hart | Internal Medicine | 195 Hospital Loop, Suite 3, Berlin, VT 05602-9522 | 2005-09-22 |
| 1255332144 | Jeffrey Carroll | Internal Medicine | 225 Memorial Dr Ste 1400, Berlin, WI 54923-1243 | 2005-08-02 |
| 1063412385 | Edwin Tatoy Castaneda | Internal Medicine | 10324 Old Ocean City Blvd, Berlin, MD 21811-1132 | 2005-07-28 |
| Find all providers in BERLIN | ||||
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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.