MR. JUSTIN WILLIAM STARLING


Address: 1515 Keys Ave, Springfield, IL 62702-2933
Phone: 2178161606

MR. JUSTIN WILLIAM STARLING (NPI# 1629592225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629592225
Entity Type Individual
Full Name MR. JUSTIN WILLIAM STARLING
Practice Address 1515 Keys Ave
Springfield
IL 62702-2933
Practice Telephone 2178161606
Mailing Telephone 2178161606
Enumeration Date 2017-07-26
Last Update Date 2017-07-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1515 KEYS AVE
City SPRINGFIELD
State IL
Zip Code 62702-2933

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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710435011 Alexander Andersen Physician Assistant 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 2016-09-14
1932538980 Emily Baecher Physician Assistant 2 Medical Cetner Dr, Suite 205, Springfield, MA 01199-1619 2013-11-09
1699114421 Lauren M Kendall Physician Assistant 960 N 16th St Ste 108, Springfield, OR 97477-4175 2013-06-14
1750660148 Daniel Francis Reilly Jr. Physician Assistant 2 Medical Center Dr Ste 308, Springfield, MA 01107-1271 2011-08-16
1831499383 Christin Wolak Physician Assistant 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 2010-11-01
1811200710 Jessica Anne White Physician Assistant 25 Ridgewood Rd., Esne, Springfield, VT 05156 2010-07-20
1043540669 Kristen Dawn Dodd Physician Assistant 960 N 16th St Ste 207, Springfield, OR 97477-4175 2010-01-04
1831337765 Cynthia R. Krinochkin Physician Assistant 3801 S. National, 5th Floor, Springfield, MO 65807-5210 2009-01-30
1578746079 Jamie Moore Physician Assistant 2 Medical Center Drive Suite 503, Springfield, MA 01199-0001 2007-12-07
1720260581 Theresa Mae Labrecque Physician Assistant 285 Ellendale Cir, Springfield, MA 01128-1148 2007-12-03
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Competitor

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City SPRINGFIELD
Zip Code 62702

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Dataset Information

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.

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