Individual provider Active NPI

Tina L Starkweather, DPM

  • Foot & Ankle Surgery Podiatrist
  • Urbandale, IA
National Provider Identifier
1285605683
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00661 Issued in IA
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

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200102000439 IA Order and Referring Only - PodiatryPractitioner - 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. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
00661IAMDCounseling Psychologist
016.004861ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tina Starkweather DPM & Assoc PastSince Sep 1, 2007 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Urban Effects Medspa Inc. Past Accepting new patients
Urban Effects Holdings PC PastSince Nov 7, 2018 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.

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

Verify at the official NPI Registry.