Healthcare Provider Details

I. General information

NPI: 1225756190
Provider Name (Legal Business Name): STARLING MEDICAL GROUP, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2022
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 MONTICELLO AVE STE 1802-45790
NORFOLK VA
23510-2670
US

IV. Provider business mailing address

440 MONTICELLO AVE STE 1802-45790
NORFOLK VA
23510-5692
US

V. Phone/Fax

Practice location:
  • Phone: 954-494-1756
  • Fax:
Mailing address:
  • Phone: 508-202-0111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: AMY CATHERINE ROSKIN
Title or Position: MANAGER
Credential: MD
Phone: 508-202-1011