Active NPI
Honestar Wound Care PLLC
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1174247811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HONESTAR WOUND CARE PLLC
- Practice address
- 14502 N Dale Mabry Hwy Ste 200
Tampa, FL 33618-2040 - Phone
- (800) 640-3451
- NPI assigned
- Sep 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mariana Hankins
- Title
- Medical Director
- Phone
- (801) 888-1140
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
14502 N Dale Mabry Hwy Ste 200
Tampa, FL 33618-2040
Mailing address
PO Box 1200
Pleasant Grove, UT 84062-1200
Phone (800) 640-3451
Other practice location 1
2480 Windy Hill Rd SE Ste 405
Marietta, GA 30067-8658
Phone (800) 640-3451
Other practice location 2
1857 Wooddale Blvd
Baton Rouge, LA 70806-1510
Phone (800) 640-3451
National Provider Directory
National Provider DirectoryLocations
13741 E Rice Pl
Ste 101
Aurora, CO 80015
Phone (801) 888-1140
14523 Bruce B Downs Blvd
Ste 401B
Tampa, FL 33613
Phone (833) 258-7900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730851200000",
"number": "1174247811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1200",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840621200",
"telephone_number": "800-640-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14502 N DALE MABRY HWY STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182040",
"telephone_number": "800-640-3451"
}
],
"practiceLocations": [
{
"address_1": "2480 Windy Hill Rd SE Ste 405",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300678658",
"country_code": "US",
"telephone_number": "800-640-3451",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1857 Wooddale Blvd",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708061510",
"country_code": "US",
"telephone_number": "800-640-3451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HONESTAR WOUND CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-27",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A",
"authorized_official_last_name": "HANKINS",
"authorized_official_first_name": "MARIANA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "801-888-1140"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.