Starke Physician Practices LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

STARKE PHYSICIAN PRACTICES LLC

Practice address

104 E Culver Rd
Suite 103
Knox, IN 46534-2216

Phone

(574) 772-2114

Fax

(574) 772-2802

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Weiss

Title

President

Phone

(615) 372-8500

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1790805125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465340428",
            "telephone_number": "574-772-2114",
            "fax_number": "574-772-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E CULVER RD",
            "address_2": "SUITE 103",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465342216",
            "telephone_number": "574-772-2114",
            "fax_number": "574-772-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKE PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-372-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000518052",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200860110A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Shin
• Thomas S Spencer, MD
• Starke County
• Starke County Family Dentistry
• Starke Physician Practices LLC
• Starke Physician Practices LLC
• Mangalore Jairam Subbarao, M.D.
• Summit Dental LLC
• Theresa M. Alexander MD LLC
• Lauren Turner, BA

• Obstetrics & Gynecology Physician in Knox, IN
• Providers in Knox, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.