STAR CLINIC (NPI# 1790058741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790058741 |
| Entity Type | Organization |
| Organization Name | STAR CLINIC |
| Practice Address |
5330 W Washington St Indianapolis IN 46241-2147 |
| Practice Telephone | 3174148822 |
| Mailing Telephone | 3174148822 |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |
| Authorized Official Name | ESTHER GHEBREMICHAEL (OWNER) |
| Authorized Official Telephone | 3174148822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12011343A | IN | Dental Providers |
| Street Address |
5330 W WASHINGTON ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46241-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437422680 | Star Dental Clinic LLC | Dentist | 5330 W Washington St, Indianapolis, IN 46241-2147 | 2012-02-20 |
| 1386106847 | Care Indy | Nurse Practitioner | 5330 W Washington St, Indianapolis, IN 46241-2147 | 2019-04-03 |
| 1265849285 | Finote Asfaw | Nurse Practitioner | 5330 W Washington St, Indianapolis, IN 46241-2147 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062511 | Indy Medical Trans LLC | Non-emergency Medical Transport (VAN) | 4948 W Washington St, Indianapolis, IN 46241 | 2020-10-29 |
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1659841880 | Dependency Medical Holdings Corporation | Family Medicine | 5600 W Bradbury Ave, Indianapolis, IN 46241 | 2018-11-30 |
| 1255872073 | Phoenix Family and Community Services, LLC | Case Management | 2346 S. Lynhurst Dr. Suite 601, Indianapolis, IN 46241 | 2017-03-13 |
| 1811022114 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 6920 Gatwick Drive, Suite 100, Indianapolis, IN 46241 | 2007-02-23 |
| 1912073107 | Kathryn Charlotte Gregor | Occupational Therapy Assistant | 5603 W Raymond St, Indianapolis, IN 46241 | 2006-11-28 |
| 1184790347 | Sandee Jo Schultheis | Physical Therapy Assistant | 5603 West Raymond St, Suite A, Indianapolis, IN 46241 | 2006-11-28 |
| 1346899077 | Lori Heusel | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-09-05 |
| 1720632227 | Nicole Anne Murphy | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-08-01 |
| 1073173209 | Kaylee Posson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-06-19 |
| Find all providers in zip 46241 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063918746 | Robinpreet Singh Pannu | Dentist | 550 University Blvd Ste 3195, Indianapolis, IN 46202-5149 | 2018-04-02 |
| 1659752335 | Yusif Umar | Dentist | 550 University Blvd # Uh3145, Indianapolis, IN 46202-5149 | 2015-06-17 |
| 1154710267 | Lawrence G. Falender Dds PC | Dentist | 1320 N Post Rd, Indianapolis, IN 46219-4210 | 2015-01-13 |
| 1144668989 | Timothy William Surber | Dentist | 5701 Brownstone Dr, Indianapolis, IN 46220-5851 | 2013-06-13 |
| 1396189387 | Intp Dental PC | Dentist | 8555 River Rd Ste 180, Indianapolis, IN 46240-4311 | 2013-04-22 |
| 1932440054 | John Joseph Schier Jr. | Dentist | 3021 E 98th St Ste 250, Indianapolis, IN 46280-2908 | 2013-03-14 |
| 1962766444 | Denise A Flanagan Dds PC | Dentist | 8240 Naab Rd Ste 355, Indianapolis, IN 46260-1987 | 2012-06-28 |
| 1417219056 | Ehlie Bruno | Dentist | 550 University Blvd Fl 3, Indiana University Medical Center, Omfs, Indianapolis, IN 46202-5149 | 2012-06-11 |
| 1881951622 | Patrick S Kelly | Dentist | 9860 Westpoint Dr Ste 100, Indianapolis, IN 46256-3398 | 2012-04-18 |
| 1184919250 | Ross Tyler Freeman | Dentist | 1050 Wishard Blvd, Rg-4201, Indianapolis, IN 46202 | 2011-06-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46241 |
Please comment or provide details below to improve the information on STAR CLINIC.
| 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.