Organization Active NPI

Medrx, Inc

  • Audiologist
  • Largo, FL
National Provider Identifier
1023489374
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
MEDRX, INC
Practice address
1200 Starkey Rd
Ste105B
Largo, FL 33771-3167
Phone
(727) 584-9696
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Caleb Sparkman, AU.D.
Title
Audiologist
Phone
(727) 584-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

1200 Starkey Rd
Ste105B
Largo, FL 33771-3167

Mailing address

1200 Starkey Rd
Ste105B
Largo, FL 33771-3167
Phone (727) 584-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160307001942 FL Part B Supplier - Clinic/Group Practice 9537465265 Receives reassigned benefits from 1 practitioner
Practice locations: Largo, FL

National Provider Directory

National Provider Directory

Locations

1200 Starkey Rd
Ste 105B
Largo, FL 33771
Phone (727) 584-9696

1200 Starkey Rd
#105B
Largo, FL 33771

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1023489374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 STARKEY RD",
            "address_2": "STE105B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713167",
            "telephone_number": "727-584-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STARKEY RD",
            "address_2": "STE105B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713167",
            "telephone_number": "727-584-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDRX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "SPARKMAN",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "727-584-9600",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.