Star Sports Medicine PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

STAR SPORTS MEDICINE PA

Practice address

9400 University Pkwy
Suite 309
Pensacola, FL 32514-5752

Phone

(850) 479-3320

Fax

(850) 479-8789

NPI assigned

Aug 30, 2006

Last updated

Dec 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Juliet Marie Decampos, M.D.NPI 1730142647

Title

Physician

Phone

(850) 479-3320

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juliet Marie De Campos, M.D.

  • Orthopaedic Surgery Physician
  • Pensacola, FL
  • NPI 1730142647
  Authorized official Same address or phone
• Brian Christopher Guttmann, PT

  • Physical Therapist
  • Pensacola, FL
  • NPI 1285816876
  NPD (past)
• Timothy S. Whiteley, PT

  • Physical Therapist
  • Pensacola, FL
  • NPI 1538341128
  NPD (past)
• Michael R. Land, D.P.T.

  • Physical Therapist
  • Lillian, AL
  • NPI 1770627440
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1922117845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30010",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031010",
            "telephone_number": "850-479-3320",
            "fax_number": "850-479-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PKWY",
            "address_2": "SUITE 309",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145752",
            "telephone_number": "850-479-3320",
            "fax_number": "850-479-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR SPORTS MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "DECAMPOS",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-479-3320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253484300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG3210",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Standish, M.D.
• Alyssa Louise Standlick, MD
• Charmian M. Stanford, R.N.
• Sabrina Stanley
• Stephanie Bell Stanton, PHARMD
• Stark Performance Physical Therapy
• Paul Hunter Stark, PT
• T Gail Stark, DPM
• Monique E Starke, PT, DPT
• Sonya L Starnes

• Specialist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Specialist in Florida

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