MEDICARE: DR. MICHAEL JOHN STARKEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	5370	AK
2	2085R0202X	Diagnostic Radiology Physician	025254	LA
3	2085R0202X	Diagnostic Radiology Physician	33681	AZ
4	2085R0202X	Diagnostic Radiology Physician	44778	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5370	OTHER	AK	ALASKA STATE LICENSE
2	00398789	OTHER		RADSOCNORTHAMERICA MEM #
3	33681	OTHER	AZ	ARIZONA STATE LICENSE
4	025254	OTHER	LA	LOUISIANA STATE BOARD LIC
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396724498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JOHN STARKEY MD

Provider Business Mailing Address
First Line	:	1633 MEDICAL CENTER POINT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-1604
Country	:	US
Telephone Number	:	719-667-4139
Fax Number	:	719-473-8843

Provider Business Practice Location Address
First Line	:	1633 MEDICAL CENTER POINT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-1604
Country	:	US
Telephone Number	:	719-667-4139
Fax Number	:	719-473-8843

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	03/07/2023

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