Organization Active NPI

Tina Starkweather DPM & Associates PC

  • Podiatrist
  • Sycamore, IL
National Provider Identifier
1134319387
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016.004861 Issued in IL
Legal business name
TINA STARKWEATHER DPM & ASSOCIATES PC
Practice address
2560 Hauser Ross Dr.
Suite 400
Sycamore, IL 60178
Phone
(815) 899-3338
Fax
(815) 899-3332
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Dr. Tina L Starkweather, DPM
Title
Owner
Phone
(815) 899-3338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 016.004861 IL Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 016.004861 IL

Addresses

Primary practice location

2560 Hauser Ross Dr.
Suite 400
Sycamore, IL 60178

Mailing address

2560 Hauser Ross Dr.
Suite 400
Sycamore, IL 60178
Phone (815) 899-3338

National Provider Directory

National Provider Directory

Locations

605 Plaza Dr
#3
Sycamore, IL 60178
Phone (815) 889-3338

54 W Countryside Pkwy
Ste B
Yorkville, IL 60560
Phone (630) 553-4855

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1134319387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 HAUSER ROSS DR.",
            "address_2": "SUITE 400",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60178",
            "telephone_number": "815-899-3338",
            "fax_number": "815-899-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 HAUSER ROSS DR.",
            "address_2": "SUITE 400",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60178",
            "telephone_number": "815-899-3338",
            "fax_number": "815-899-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA STARKWEATHER DPM & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "STARKWEATHER",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-899-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016.004861",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.004861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.