Active NPI
Richard Frederick Starkey, MD
- Family Medicine Physician
- Mountain Home, ID
National Provider Identifier
1831206135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M3395
- Practice address
- 805 N 6TH E
Mountain Home, ID 83647-2207 - Phone
- (208) 587-9736
- Fax
- (208) 587-7905
- NPI assigned
- Aug 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M3395 | ID | Primary |
Addresses
Primary practice location
805 N 6TH E
Mountain Home, ID 83647-2207
Mailing address
805 N 6TH E
PO Box 427
Mountain Home, ID 83647-2207
Phone (208) 587-9736
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57406 | Other | ID | BLUE CROSS |
| 10006011 | Other | ID | REGENCE, BLUE SHIELD |
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 |
|---|---|---|---|
| M3395 | ID | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831206135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 N 6TH E",
"address_2": "PO BOX 427",
"city": "MOUNTAIN HOME",
"state": "ID",
"postal_code": "836472207",
"telephone_number": "208-587-9736",
"fax_number": "208-587-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 N 6TH E",
"city": "MOUNTAIN HOME",
"state": "ID",
"postal_code": "836472207",
"telephone_number": "208-587-9736",
"fax_number": "208-587-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARKEY",
"first_name": "RICHARD",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M3395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "57406",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE, BLUE SHIELD",
"identifier": "10006011",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.