Active NPI
Thomas Starkey Jr., MD
- Psychiatry Physician
- Lakewood, CO
National Provider Identifier
1306992086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 46543
- Practice address
- 1360 S Wadsworth Blvd
Suite 112
Lakewood, CO 80232-5415 - Phone
- (855) 384-2656
- Fax
- (888) 389-8263
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 46543 | CO | Primary |
| General Practice Physician | 208D00000X | 46543 | CO |
Addresses
Primary practice location
1360 S Wadsworth Blvd
Suite 112
Lakewood, CO 80232-5415
Mailing address
3608 Galley Rd
Colorado Springs, CO 80909-4310
Phone (855) 384-2656
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14872544 | Medicaid | CO | |
| 353732ZGF9 | Other | CO | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46543 | CO | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406678400000",
"number": "1306992086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3608 GALLEY RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809094310",
"telephone_number": "855-384-2656",
"fax_number": "888-389-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 S WADSWORTH BLVD",
"address_2": "SUITE 112",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802325415",
"telephone_number": "855-384-2656",
"fax_number": "888-389-8263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARKEY",
"first_name": "THOMAS",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2014-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "46543",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "46543",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14872544",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "353732ZGF9",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.