Active NPI
Tina L Starkweather, DPM
- Foot & Ankle Surgery Podiatrist
- Urbandale, IA
National Provider Identifier
1285605683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 00661
- Practice address
- 2733 86TH St
Urbandale, IA 50322 - Phone
- (515) 330-9018
- Fax
- (515) 330-3439
- NPI assigned
- Feb 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016.004861 | IL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00661 | IA | Primary |
Addresses
Primary practice location
2733 86TH St
Urbandale, IA 50322
Mailing address
2733 86TH St
Urbandale, IA 50322-4336
Phone (515) 330-9018
Other practice location 1
2560 Hauser Ross Dr
Suite 400
Sycamore, IL 60178-3183
Phone (815) 899-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200102000439 | IA | Order and Referring Only - Podiatry | 5698869527 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00661 | IA | MD | Counseling Psychologist |
| 016.004861 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tina Starkweather DPM & Assoc | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Urban Effects Medspa Inc. | Past | Accepting new patients | |
| Urban Effects Holdings PC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Yorkville, IL
- NPI 1154695708
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
- Family Nurse Practitioner
- Urbandale, IA
- NPI 1295211852
-
- Family Nurse Practitioner
- Clive, IA
- NPI 1649560236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1285605683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2733 86TH ST",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503224336",
"telephone_number": "515-330-9018",
"fax_number": "515-330-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2733 86TH ST",
"city": "URBANDALE",
"state": "IA",
"postal_code": "50322",
"telephone_number": "515-330-9018",
"fax_number": "515-330-3439"
}
],
"practiceLocations": [
{
"address_1": "2560 Hauser Ross Dr",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Sycamore",
"state": "IL",
"postal_code": "601783183",
"country_code": "US",
"telephone_number": "815-899-3338",
"fax_number": "815-899-3332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STARKWEATHER",
"first_name": "TINA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016.004861",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IA",
"license": "00661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.