Provider Demographics
NPI:1053315879
Name:STARKE, JOE DAVID (MD)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:DAVID
Last Name:STARKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1605 E BROADWAY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-8023
Mailing Address - Country:US
Mailing Address - Phone:573-443-8773
Mailing Address - Fax:
Practice Address - Street 1:901 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:DECORAH
Practice Address - State:IA
Practice Address - Zip Code:52101-2325
Practice Address - Country:US
Practice Address - Phone:563-382-2911
Practice Address - Fax:563-382-4143
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN67223208600000X
WI72644208600000X
IAMD-46820208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO28058OtherGHP
MO4244283OtherAETNA
MO9062284OtherPHCS
MO106933OtherANTHEM BLUECROSS BLUESHIE
MO3477OtherHEALTHCARE USA
MO431428562OtherGREAT WEST
MO208708305Medicaid
MO1480262OtherUNITED HEALTHCARE
MO333440OtherHEALTHLINK, INC
MOF31823OtherMERCY
MO106933OtherANTHEM BLUECROSS BLUESHIE
MO1480262OtherUNITED HEALTHCARE
MO4244283OtherAETNA