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Organization Active NPI

Tina Starkweather DPM & Assocaites, PC

  • Foot & Ankle Surgery Podiatrist
  • Sycamore, IL
National Provider Identifier
1992941124
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.004861 Issued in IL
Legal business name
TINA STARKWEATHER DPM & ASSOCAITES, PC
Practice address
2560 Hauser Ross Dr
Suite 400
Sycamore, IL 60178-3150
Phone
(815) 899-3338
Fax
(815) 899-3332
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Mrs. Diana Renee Tolzin
Title
Office Manager
Phone
(815) 899-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016.004861 IL Primary

Addresses

Primary practice location

2560 Hauser Ross Dr
Suite 400
Sycamore, IL 60178-3150

Mailing address

2560 Hauser Ross Dr
Suite 400
Sycamore, IL 60178-3150
Phone (815) 899-3338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1992941124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 HAUSER ROSS DR",
            "address_2": "SUITE 400",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783150",
            "telephone_number": "815-899-3338",
            "fax_number": "815-899-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 HAUSER ROSS DR",
            "address_2": "SUITE 400",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783150",
            "telephone_number": "815-899-3338",
            "fax_number": "815-899-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA STARKWEATHER DPM & ASSOCAITES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "TOLZIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-899-3338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.004861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.