Starke Family Medical Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

STARKE FAMILY MEDICAL CENTER INC

Doing business as

Village Doctors

Practice address

155 SE 6TH PL
Lake Butler, FL 32054-2213

Phone

(386) 496-1236

NPI assigned

Oct 6, 2021

Last updated

Oct 6, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

STARKE FAMILY MEDICAL CENTER, INC.As reported in NPPES

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

Authorized official

Name

Michele Denise Bazile

Title

Director

Phone

(904) 964-5455

Specialties & licenses 1

Addresses

Other names 1

• Village Doctors Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Starke Family Medical Center Inc4 organizations share this tax ID, including this one

Part of

Starke Family Medical Center Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Starke Family Medical Center Inc

  dba Village Doctors

  • General Practice Physician
  • Keystone Heights, FL
  • NPI 1407518541
  NPD tax ID
• Starke Family Medical Center Inc

  dba immediate care center of starke

  • Family Medicine Physician
  • Starke, FL
  • NPI 1487727038
  NPD tax ID
• Starke Family Medical Center Inc

  dba Village Doctors

  • General Practice Physician
  • Keystone Heights, FL
  • NPI 1780348094
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Starke Family Medical Center Inc

  dba immediate care center of starke

  • Family Medicine Physician
  • Starke, FL
  • NPI 1487727038
  NPPES parent name

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1922760065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W MADISON ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913923",
            "telephone_number": "904-964-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SE 6TH PL",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "320542213",
            "telephone_number": "386-496-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKE FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STARKE FAMILY MEDICAL CENTER, INC.",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "BAZILE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-964-5455"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Doctors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Lake Butler, FL
• Providers in Lake Butler, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.