Star Orthopedics and Spine of Fort Myers LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

STAR ORTHOPEDICS AND SPINE OF FORT MYERS LLC

Practice address

12610 World Plaza LN Unit 61-2
Fort Myers, FL 33907-4076

Phone

(561) 699-6373

NPI assigned

Jan 20, 2025

Organization subpart

No

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

Authorized official

Name

Hillary Koerner

Title

Coo

Phone

(561) 699-6373

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1669283495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 WORLD PLAZA LN UNIT 61-2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074076",
            "telephone_number": "561-699-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR ORTHOPEDICS AND SPINE OF FORT MYERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "KOERNER",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-699-6373"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Stanton, FNP
• Rebecca Stany
• Jennifer Staple, M.A.
• Keith A Staple
• Kinsey Stapleton
• Star Quality Health Care LLC
• Stefanie Starcic, CPNP
• Donna M Starczewski, RN
• Talia Starczewski
• Skyler Starkey, APRN

• Orthopaedic Surgery Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.