Starke Physician Practices LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

STARKE PHYSICIAN PRACTICES LLC

Doing business as

Charles Stone Surgical

Practice address

104 E Culver Rd
Suite 102
Knox, IN 46534-2216

Phone

(574) 772-1270

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Thomas M Weiss

Title

President

Phone

(615) 372-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Charles Stone Surgical Doing business as

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1821281460",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E CULVER RD",
            "address_2": "SUITE 102",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465342216",
            "telephone_number": "574-772-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKE PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-372-8500"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200860110B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles Stone Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgery Physician in Knox, IN
• Providers in Knox, IN by specialty
• Surgery 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.