Starke Hma, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STARKE HMA, LLC

Doing business as

Shands Medical Group of Starke

Practice address

1550 S Water St
Starke, FL 32091-4511

Phone

(904) 368-2343

Fax

(904) 368-2484

NPI assigned

Oct 17, 2014

Organization subpart

No

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

Authorized official

Name

James P Wright

Title

Sr. Director

Phone

(615) 465-7587

Specialties & licenses 2

Addresses

Other names 1

• Shands Medical Group of Starke Doing business as

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1215331350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7000",
            "fax_number": "615-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S WATER ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320914511",
            "telephone_number": "904-368-2343",
            "fax_number": "904-368-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKE HMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SR. DIRECTOR",
        "authorized_official_telephone_number": "615-465-7587"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shands Medical Group of Starke",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Starke Family Pharmacy
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• Starke Hma LLC
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• Starke Hma Medical Group LLC
• Starke Hma, LLC
• Starke Spine and Injury LLC,
• Farrah Starling
• Nicole Street
• Crystal Sumpter, LPN

• Family Medicine Physician in Starke, FL
• Providers in Starke, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.