Provider Demographics
NPI:1437107521
Name:STARRETT, ROBERT S (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:STARRETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1230
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47706-1230
Mailing Address - Country:US
Mailing Address - Phone:812-450-7899
Mailing Address - Fax:812-450-6029
Practice Address - Street 1:600 MARY STREET
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47747-0001
Practice Address - Country:US
Practice Address - Phone:812-450-7899
Practice Address - Fax:812-450-6029
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01042200A207RC0000X, 207RI0011X
IL036-074844207RC0000X, 207RI0011X
KY33086207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
830217POtherSIHO
000000042531OtherANTHEM
0000059961-01OtherWELBORN HEALTH PLANS
KY64877152Medicaid
19280OtherCIGNA
175886OtherHEALTHLINK
IN200016810Medicaid
0000059961-01OtherWELBORN HEALTH PLANS
830217POtherSIHO
KY110136259Medicare PIN
000000042531OtherANTHEM
19280OtherCIGNA
C51177Medicare UPIN