RICHARD FREDRICK STARKEY MD NPI 1275665473

NPI Information

NPI: 1275665473
Provider Name: RICHARD FREDRICK STARKEY MD
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
806 NORTH 6TH EAST
MOUNTAIN HOME, ID
ZIP 83647
Phone: (208) 587-9736
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RICHARD FREDRICK STARKEY MD is a family nurse practitioner in Mountain Home, ID. RICHARD FREDRICK STARKEY MD NPI is 1275665473. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

806 NORTH 6TH EAST
MOUNTAIN HOME, ID
ZIP 83647-427
Phone: (208) 587-9736
Fax: (208) 587-7905

The provider's authorized official is Richard Frederick Starkey .
The authorized official title is Owner and has the following contact phone number (208) 587-9736.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 3/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	NP382A	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C36850	MEDICARE UPIN	IDAHO
2	805234400	MEDICAID	IDAHO
3	1375937	MEDICARE ID-TYPE UNSPECIFIED	IDAHO	MEDICARE GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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