Active NPI
Chritsopher T. Starnes, M.D.
- Internal Medicine Physician
- Wise, VA
National Provider Identifier
1821083106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101237492
- Practice address
- 143 Woodland Dr SW
Wise, VA 24293-4623 - Phone
- (276) 365-8071
- Fax
- (276) 221-1529
- NPI assigned
- Sep 13, 2005
- Last updated
- Mar 11, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101237492 | VA | Primary |
| Internal Medicine Physician | 207R00000X | 39257 | KY |
Addresses
Primary practice location
143 Woodland Dr SW
Wise, VA 24293-4623
Mailing address
5542 Burwell Rd
Wise, VA 24293-5929
Phone (276) 365-8071
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190001321 | Medicaid | VA | |
| 64102858 | Medicaid | KY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39257 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cutting Edge Dermatology PLLC | Current | Accepting new patients |
Locations
280 Virginia Ave NE
Ste 106
Norton, VA 24273
Phone (276) 365-8071
143 Woodland Dr SW
Wise, VA 24293
Phone (276) 365-8071
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Wise, VA
- NPI 1770877987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678492800000",
"number": "1821083106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5542 BURWELL RD",
"city": "WISE",
"state": "VA",
"postal_code": "242935929",
"telephone_number": "276-365-8071",
"fax_number": "276-221-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 WOODLAND DR SW",
"city": "WISE",
"state": "VA",
"postal_code": "242934623",
"telephone_number": "276-365-8071",
"fax_number": "276-221-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARNES",
"first_name": "CHRITSOPHER",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2023-03-11",
"certification_date": "2023-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101237492",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "39257",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190001321",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64102858",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wise, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.