Organization Active NPI

Starkey Medical PC

  • Specialist
  • Roanoke, VA
National Provider Identifier
1154425874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0024125716 Issued in VA
Legal business name
STARKEY MEDICAL PC
Practice address
4903 Starkey Rd Ste 300
Roanoke, VA 24018-8525
Phone
(540) 776-7630
Fax
(540) 773-7631
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Michele M Minehart
Title
President/Nurse Practitoner
Phone
(540) 776-7630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0024125716 VA Primary

Addresses

Primary practice location

4903 Starkey Rd Ste 300
Roanoke, VA 24018-8525

Mailing address

PO Box 4127
Roanoke, VA 24015-0127
Phone (540) 527-1788

Other identifiers 1

IdentifierTypeStateIssuer
P0062019OtherVAMEDICARE RAILROAD

National Provider Directory

National Provider Directory
Tax ID family
Starkey Medical PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154425874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4127",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240150127",
            "telephone_number": "540-527-1788",
            "fax_number": "540-776-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 STARKEY RD STE 300",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188525",
            "telephone_number": "540-776-7630",
            "fax_number": "540-773-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKEY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINEHART",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/NURSE PRACTITONER",
        "authorized_official_telephone_number": "540-776-7630",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0024125716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P0062019",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.