Starfish Pediatrics PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 112541 Issued in FL

Legal business name

STARFISH PEDIATRICS PA

Practice address

4500 Hodges Blvd
Suite 1
Jacksonville, FL 32224-2207

Phone

(904) 347-2773

Fax

(904) 647-2647

NPI assigned

Aug 23, 2012

Organization subpart

No

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

Authorized official

Name

Carlos Maria, MDNPI 1508936949

Title

Owner

Phone

(912) 338-5475

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10117/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Carlos Maria, M.D.

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1508936949
  NPD (past) Authorized official
• VI DO

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1093684656
  NPD (past)
• Sara Ines Guzman, MD

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1194736181
  NPD (past)

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1447508478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17774",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322457774",
            "telephone_number": "904-347-2773",
            "fax_number": "904-647-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 HODGES BLVD",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242207",
            "telephone_number": "904-347-2773",
            "fax_number": "904-647-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "MARIA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-338-5475",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 112541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Medical FL PLLC
• Star Medical FL PLLC
• David Starbuck, RPH
• Yumi Starcher, AP, LMT
• Kyle Michelle Starck, APRN
• Allison M Stark
• Johnna Stark
• Mark Stark, MD
• Shaneka Starkes
• Tamyia Johnetta Starkes

• Pediatrics Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.