Organization Active NPI

Charles R Starr, MD

  • Plastic and Reconstructive Surgery Physician
  • Astoria, OR
National Provider Identifier
1861677635
Registry record updated Dec 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
7129 Issued in OR
Legal business name
CHARLES R STARR, MD
Practice address
550 22ND St
Astoria, OR 97103-3312
Phone
(503) 338-7554
Fax
(503) 325-4905
NPI assigned
Dec 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2007

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

Authorized official

Name
Dr. Charles Roger Starr, MD
Title
Physician
Phone
(503) 717-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 7129 OR Primary

Addresses

Primary practice location

550 22ND St
Astoria, OR 97103-3312

Mailing address

PO Box 2604
Gearhart, OR 97138-2604
Phone (503) 717-0303

Other identifiers 2

IdentifierTypeStateIssuer
1119981MedicaidWA
175711MedicaidOR

National Provider Directory

National Provider Directory

Locations

550 22ND St
Astoria, OR 97103
Phone (503) 338-7554

582 22nd St
Astoria, OR 97103
Phone (503) 325-0045

550 22ND St
Columbia Mem Hosp
Astoria, OR 97103
Phone (503) 338-7554

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198886400000",
    "number": "1861677635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2604",
            "city": "GEARHART",
            "state": "OR",
            "postal_code": "971382604",
            "telephone_number": "503-717-0303",
            "fax_number": "503-717-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 22ND ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033312",
            "telephone_number": "503-338-7554",
            "fax_number": "503-325-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R STARR, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-29",
        "last_updated": "2007-12-29",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-717-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OR",
            "license": "7129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119981",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175711",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.