Provider Demographics
NPI:1801776224
Name:SILVER STAR MEDICAL LLC
Entity type:Organization
Organization Name:SILVER STAR MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:LIN
Authorized Official - Last Name:SILVIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-849-4448
Mailing Address - Street 1:850 AQUIDNECK AVE UNIT B-9
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-7280
Mailing Address - Country:US
Mailing Address - Phone:401-849-4448
Mailing Address - Fax:401-849-2709
Practice Address - Street 1:850 AQUIDNECK AVE UNIT B-9
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-7280
Practice Address - Country:US
Practice Address - Phone:401-849-4448
Practice Address - Fax:401-849-2709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty