SILVER STAR MEDICAL RESOURCES, LLC (NPI# 1225573603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225573603 |
| Entity Type | Organization |
| Organization Name | SILVER STAR MEDICAL RESOURCES, LLC |
| Practice Address |
1905 W Ennis Ave Ste 500 Ennis TX 75119-3627 |
| Mailing Address |
Po Box 821868 Dallas TX 75382-1868 |
| Practice Telephone | 2144428908 |
| Practice Fax Number | 2144428907 |
| Mailing Fax Number | 2144428907 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2018-11-08 |
| Authorized Official Name | JAMIE L HELLMAN (ADMIN) |
| Authorized Official Telephone | 2144428908 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Q0036 | TX | Other Service Providers |
| Street Address |
1905 W ENNIS AVE STE 500 |
| City | ENNIS |
| State | TX |
| Zip Code | 75119-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121859 | Alexandria Etuk | Pharmacist | 101 Sh-437 Spur, Ennis, TX 75119 | 2020-10-14 |
| 1285279158 | Oluchi Ozumba Md Pa | Pain Medicine | 601 S Cly St, Suite 104, Ennis, TX 75119 | 2019-11-14 |
| 1952806085 | Ikids Pediatric Dentistry Ennis, Pllc | Dentist | 711 S Clay St Ste A, Ennis, TX 75119 | 2018-03-29 |
| 1609382068 | Living Single LLC | Residential Treatment Facility, Physical Disabilities | 809 E. Denton Street, Ennis, TX 75119 | 2017-12-21 |
| 1912363300 | Erin Denise Jackson | Counselor | 219 W. Brown St, Suite A, Ennis, TX 75119 | 2016-01-14 |
| 1164769139 | Matthew Garrett Cooper | Nurse Anesthetist, Certified Registered | 2201 W. Lampasas Street, Ennis, TX 75119 | 2013-01-11 |
| 1922343805 | Braces R Us PC | Dentist | 1012 E. Ennis Ave. Ste. C, Ennis, TX 75119 | 2012-12-04 |
| 1154684355 | Stefanie Nicole Rust | Emergency Medicine | 2201 West Lampasas Street, Ennis, TX 75119 | 2012-06-21 |
| 1265710909 | Traditions Health Care of Ennis, LLC | Home Health | 109 Southwest Main Street, Suite A, Ennis, TX 75119 | 2011-07-29 |
| 1578792370 | Peak Physical Therapy and Rehabilitation LLC | Physical Therapist | 2200 Physicians Blvd, Ste D, Ennis, TX 75119 | 2009-07-14 |
| Find all providers in zip 75119 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1871100313 | Your Choice Healthcare | Specialist | 1111 N I 35 E, Desoto, TX 75115-3509 | 2020-09-29 |
| 1306450226 | Circulum LLC | Specialist | 600 Mark Drive, Alrington, TX 76013-2013 | 2020-09-08 |
| 1255949152 | Angelica Rosas-torres | Specialist | 9810 Brick Village Dr, Houston, TX 77095-5072 | 2020-07-16 |
| 1205452554 | Kira Marie Levy | Specialist | 25700 I-45 #415, Spring, TX 77386 | 2020-06-23 |
| 1699399675 | Hannah Stewart | Specialist | 2202 93rd St, Lubbock, TX 79423-4338 | 2020-06-04 |
| 1841810306 | Abc Surgical, LLC | Specialist | 6 Twin Circle Dr, Beaumont, TX 77706-5304 | 2020-04-24 |
| 1093334039 | Sport Is Religion | Specialist | 8641 Las Vegas Ct Apt 2722, Fort Worth, TX 76116-0044 | 2020-04-09 |
| 1689202004 | Bayou Surgical Assistants Inc | Specialist | 121 N Post Oak Ln Apt 2204, Houston, TX 77024-7717 | 2020-03-31 |
| 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.