MEDICARE: THOMAS STARKEY JR. 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	2084P0800X	Psychiatry Physician	46543	CO
2	208D00000X	General Practice Physician	46543	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	353732ZGF9	OTHER	CO	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306992086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS STARKEY JR. MD

Provider Business Mailing Address
First Line	:	3608 GALLEY RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-4310
Country	:	US
Telephone Number	:	855-384-2656
Fax Number	:	888-389-8263

Provider Business Practice Location Address
First Line	:	1360 S WADSWORTH BLVD
Second Line	:	SUITE 112
City	:	LAKEWOOD
State	:	CO
Zip	:	80232-5415
Country	:	US
Telephone Number	:	855-384-2656
Fax Number	:	888-389-8263

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	07/30/2014

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Directions to “ THOMAS STARKEY JR. MD” Practice Location

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