MEDICARE: STARKEY MEDICAL

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1407836885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARKEY MEDICAL

Provider Business Mailing Address
First Line	:	PO BOX 4127
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24015-0127
Country	:	US
Telephone Number	:	540-981-2706
Fax Number	:	540-344-7154

Provider Business Practice Location Address
First Line	:	4903 STARKEY RD
Second Line	:	STE 300
City	:	ROANOKE
State	:	VA
Zip	:	24018
Country	:	US
Telephone Number	:	540-776-7630
Fax Number	:	540-776-7631

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHELE MERRITT MEINHART
Credential	:	FNP
Telephone Number	:	540-776-7630

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	10/09/2007

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Directions to “STARKEY MEDICAL ” Practice Location

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