Active NPI
Thomas David Starkey, M.D.
- Surgery Physician
- Fort Campbell, KY
National Provider Identifier
1679543565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3781319
- Practice address
- 650 Joel Dr
Room 2Be53
Fort Campbell, KY 42223-5318 - Phone
- (340) 514-5236
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1307 | VI | |
| Surgery Physician | 208600000X | 3781319 | TN | Primary |
| Surgical Critical Care Physician | 2086S0102X | 1307 | VI | |
| Surgical Critical Care Physician | 2086S0102X | 3781319 | TN | |
| Vascular Surgery Physician | 2086S0129X | 1307 | VI | |
| Vascular Surgery Physician | 2086S0129X | 3781319 | TN | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 1307 | VI | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 3781319 | TN |
Addresses
Primary practice location
650 Joel Dr
Room 2Be53
Fort Campbell, KY 42223-5318
Mailing address
650 Joel Dr
Room 2Be53
Fort Campbell, KY 42223-5318
Phone (340) 514-5236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3781319 | TN | MD | Surgery Physician |
| 1307 | VI | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Surgery Associates, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Nashville, TN
- NPI 1669453304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406851200000",
"number": "1679543565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"address_2": "ROOM 2BE53",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235318",
"telephone_number": "340-514-5236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"address_2": "ROOM 2BE53",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235318",
"telephone_number": "340-514-5236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARKEY",
"first_name": "THOMAS",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2014-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VI",
"license": "1307",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "3781319",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "VI",
"license": "1307",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TN",
"license": "3781319",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VI",
"license": "1307",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TN",
"license": "3781319",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "VI",
"license": "1307",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TN",
"license": "3781319",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.