Individual provider Active NPI

Marlene J Starr, M.D.

  • Adult Medicine Physician
  • Madeira Beach, FL
National Provider Identifier
1245200047
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME 0067838 Issued in FL
Practice address
12801 E End LN
Madeira Beach, FL 33708-2670
Phone
(727) 398-6661
Fax
(727) 578-9811
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME 0067838 FL Primary

Addresses

Primary practice location

12801 E End LN
Madeira Beach, FL 33708-2670

Mailing address

12801 East End Lane
Madeira Beach, FL 33708
Phone (727) 398-6661

Other identifiers 1

IdentifierTypeStateIssuer
ME 0067838OtherFLFLORIDA MEDICAL LISCENSE

Other names 1

  • Dr. Marlene J Jankowski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 0067838FLMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245200047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 EAST END LANE",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "33708",
            "telephone_number": "727-398-6661",
            "fax_number": "727-578-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 E END LN",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337082670",
            "telephone_number": "727-398-6661",
            "fax_number": "727-578-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "MARLENE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME 0067838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA  MEDICAL LISCENSE",
            "identifier": "ME 0067838",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "JANKOWSKI",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madeira Beach, FL

Sources for this page

Verify at the official NPI Registry.