1144216797 NPI number — HOPE STARKMAN MD

Table of content: HOPE STARKMAN MD (NPI 1144216797)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144216797 NPI number — HOPE STARKMAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STARKMAN
Provider First Name:
HOPE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144216797
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
03/23/2006
NPI Reactivation Date:
03/30/2006

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4075 ARTHURIUM AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LANTANA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33462-3431
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-868-5455
Provider Business Mailing Address Fax Number:
561-736-8499

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4075 ARTHURIUM AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKE WORTH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33462-3431
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-736-9699
Provider Business Practice Location Address Fax Number:
561-736-8499
Provider Enumeration Date:
09/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X , with the licence number:  183685-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RR0500X , with the licence number: ME0063441 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 104142 . This is a "AVMED VENDOR NO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 4632988 . This is a "AETNA PPO ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 25389 . This is a "BCBS ID NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660003023 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 2290203 . This is a "AETNA HMO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 0582446003 . This is a "CIGNA ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 112930900 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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