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FIVE STAR PHYSICIAN SERVICES LLC NPI 1083654479


NPI Information

NPI: 1083654479
Provider Name: FIVE STAR PHYSICIAN SERVICES, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
9715 HEALTHWAY DRIVE
BERLIN, MD
ZIP 21811
Phone: (443) 548-5700
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FIVE STAR PHYSICIAN SERVICES, LLC is an internal medicine in Berlin, MD. The provider is 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. FIVE STAR PHYSICIAN SERVICES, LLC NPI is 1083654479. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9715 HEALTHWAY DRIVE
BERLIN, MD
ZIP 21811
Phone: (443) 548-5700
Fax: (443) 548-5705

The provider's authorized official is Rachel Setting .
The authorized official title is Operations Manager and has the following contact phone number (410) 279-0317.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 3/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2208100000XPhysical Medicine & RehabilitationNo
3208200000XPlastic SurgeryNo
4207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1943LMEDICARE ID-TYPE UNSPECIFIEDMARYLANDGROUP PROVIDER #
2539702400MEDICAIDMARYLAND
3G00431MEDICARE ID-TYPE UNSPECIFIEDDISTRICT OF COLUMBIAGROUP PROVIDER #
4935LMEDICARE ID-TYPE UNSPECIFIEDMARYLANDGROUP PROVIDER #
5027430900MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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