Starmount Healthcare Management is an entrepreneurial company whose Leadership Team is designed to support key organizational functions and develop strategic goals while holding teams accountable for producing results.

Michael Estramonte
Founder & President
As the founder and President of Starmount Healthcare Management, Mike provides the vision and mission for the company. As an entrepreneur, Mike continually takes on new challenges and opportunities that support company growth. His passion for underserved communities and access to affordable healthcare continue to resonate with and support his long term goals.
brennan goldsmith headshot
Brennan Goldsmith
Chief Financial Officer
Brennan's myriad of responsibilities includes the organization's finances, accounting, and analytics. He drives the company's financial planning and analysis, which includes budgeting and forecasting. He provides financial data and strategy to support the company's short- and long-term initiatives, as well as coordinating with the executive team to help them better evaluate and execute business decisions. That includes opportunities such as real estate, business growth, and other key acquisitions.
Jim Estramonte
Chief Executive Officer
As the CEO of Starmount Healthcare, Jim implements the mission and vision for the company. His leadership skills and organizational experience forged during 29 years in the United States Coast Guard are valuable assets as the company continues to grow and help underserved communities. He leads the development and execution of operational policies and the organization’s long- and short-term strategic plans.
Tracey Hummell
Chief Operating Officer
With a background in Human Resources and Administration, Tracey’s role is to execute the business plan, integrate and support the company goals and provide the operational oversight to the key functions across the organization. Tracey is a key driver behind building a company culture that fosters employee engagement and satisfaction which translates to a positive patient experience.
Katy Howell, PA-C
Director of Medical Operations
With a passion for continuing education and mentorship, Katy provides coaching and guidance to our Advanced Practice Providers through an extensive training program. She brings 8 years of hands-on clinical experience as a Physician Assistant and has a background in primary, urgent, and occupational medicine care. Katy has a unique ability to create efficiency in workflows and operations, while providing an extraordinary patient experience.
Dr. Arin Piramzadian
Chief Medical Officer
As a Board Certified Emergency Medicine Physician, Dr. Piramzadian has been in practice for over 10 years, and has led nearly 170 providers . Today he serves as the Chief Medical Officer assuring compliance with up to date medical and company guidelines, prompt and accurate charting and coding and monitoring quality of care provided. Being a teaching Doctor, he holds providers to the highest standard through regular training, mentoring and case studies.
Mike Vander Baan
Chief Strategy Officer
Mike brings value to lead strategic development and initiatives while maintaining an entrepreneurial vision towards delivering higher quality of care and improved access for all. He has been recognized for providing visionary leadership, strong Physician partnerships, and adept P&L logic and decisiveness. This enables StarMed’s growth and ability to reach beyond our immediate area of service to achieve our mission.
Dorothy Mason
Chief People Officer
Throughout her 30-year career, Dorothy has received numerous awards and recognition as a healthcare business leader and educator. Her clinical and administrative background provides a wealth of knowledge in the training, coaching, and development of strong business teams. Her focus on quality performance, and passion for providing excellent patient care supports StarMed’s vision for providing affordable quality care to the community.
Dr. Silver Jayne
Director of Chiropractic Operations
Dr. Silver Jayne was raised in the small town of Meshoppen, Pennsylvania. She received her Bachelors of Science degree in 2003 from Marywood University in Scranton, PA, where she majored in Biology and minored in Chemistry. Dr. Silver then continued her education at New York Chiropractic College, where she graduated with honors in 2005. Dr. Silver joined Keith Clinic Estramonte Chiropractic in 2007 and has been a part of all three locations over her years with the clinic. Dr. Silver is the Director of Operations overseeing Keith Clinic Estramonte Chiropractic.
Jessica Graham
Chief Infrastructure & Compliance
Jessica, as Chief Infrastructure & Compliance Officer, directs Starmount’s Infrastructure Department, including facility builds, remodels and maintenance. She also manages the company’s compliance program, ensuring effective implementation of its policies and procedures and adherence to applicable rules and regulations. Jessica brings experience specializing in administrative, construction, and finance. Outside of the office, she enjoys spending time with her family either outdoors or at sporting events. They love baseball and softball, and spend most of their free time at the ball field.