Keith D. Starkweather, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD28019 Issued in TN

Legal business name

KEITH D. STARKWEATHER, MD, PC

Practice address

980 Professional Park Dr
Suite a
Clarksville, TN 37040-5251

Phone

(931) 905-1001

Fax

(931) 905-0410

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Tamikka Schmidt

Title

Office Manager

Phone

(931) 905-1001

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• dba The Bone & Joint Group Doing business as

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1275589731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 PROFESSIONAL PARK DR",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405251",
            "telephone_number": "931-905-1001",
            "fax_number": "931-905-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 PROFESSIONAL PARK DR",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405251",
            "telephone_number": "931-905-1001",
            "fax_number": "931-905-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH D. STARKWEATHER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "TAMIKKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-905-1001"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD28019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3720366",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG8067",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba The Bone & Joint Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sruthi R Keeling, DMD
• Stephanie Keene
• Steven Ford Keesee
• Jessica Michele Keipp, PTA
• Keith D Starkweather, M.D., P.C.
• Hannah Keith
• Payton Nicolette Keith, LPC, MHSP
• Natalie Elaina Kela
• Amanda Keller, RBT
• Jessica Rene Kelley, LCSW

• Specialist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.