Individual provider Active NPI

Suzanne Starke, MD

  • Internal Medicine Physician
  • Marietta, GA
National Provider Identifier
1780673111
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
022648 Issued in GA
Practice address
320 Kennestone Hospital Blvd
Suite 201
Marietta, GA 30060-1161
Phone
(770) 427-2457
Fax
(770) 427-2706
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 022648 GA Primary

Addresses

Primary practice location

320 Kennestone Hospital Blvd
Suite 201
Marietta, GA 30060-1161

Mailing address

320 Kennestone Hospital Blvd
Suite 201
Marietta, GA 30060-1161
Phone (770) 427-2457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Neurosurgery Services, LLC Dba Wellstar Neurosurgery Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1780673111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 KENNESTONE HOSPITAL BLVD",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601161",
            "telephone_number": "770-427-2457",
            "fax_number": "770-427-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KENNESTONE HOSPITAL BLVD",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601161",
            "telephone_number": "770-427-2457",
            "fax_number": "770-427-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKE",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "022648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.