Provider Demographics
NPI:1922035401
Name:STARTZ, ROBERT F (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:STARTZ
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 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-364-3300
Mailing Address - Fax:701-364-8906
Practice Address - Street 1:1702 UNIVERSITY DR S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-4940
Practice Address - Country:US
Practice Address - Phone:701-364-3300
Practice Address - Fax:701-364-8906
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4723207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN23733STOtherMNBS #
ND15614Medicaid
ND2815OtherNDBS #
ND14542Medicaid
ND1100129OtherMEDICA #
ND1137OtherSIOUX VALLEY #
MN3F119STOtherMNBS #
ND116787100Medicaid
NDHP25770OtherHEALTHPARTNERS #
NDND200064OtherLHS #
ND142068OtherUCARE #
ND1100136OtherMEDICA #
ND676654OtherAMERICA'S PPO/ARAZ #
NDDA9011015592OtherPREFERRED ONE #
NDDA9011015592OtherPREFERRED ONE #
ND1100129OtherMEDICA #
NDHP25770OtherHEALTHPARTNERS #
ND14542Medicaid
NDBS1240340OtherDEA #
NDD26313Medicare UPIN
ND142068OtherUCARE #
MN229000227Medicare ID - Type UnspecifiedMN MEDICARE #