MEDICARE: STARLING MEDICAL GROUP, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207V00000X	Obstetrics & Gynecology Physician
2	101YP2500X	Professional Counselor
3	363LP2300X	Primary Care Nurse Practitioner
4	207Q00000X	Family Medicine Physician
5	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1225756190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARLING MEDICAL GROUP, PC

Provider Business Mailing Address
First Line	:	440 MONTICELLO AVE STE 1802-45790
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23510-5692
Country	:	US
Telephone Number	:	508-202-0111
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 MONTICELLO AVE STE 1802-45790
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23510-2670
Country	:	US
Telephone Number	:	954-494-1756
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	AMY CATHERINE ROSKIN
Credential	:	MD
Telephone Number	:	508-202-1011

Provider Enumeration Date	:	08/17/2022
Last Update Date	:	12/19/2025

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