Provider Demographics
NPI:1396724498
Name:STARKEY, MICHAEL JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOHN
Last Name:STARKEY
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 1:1633 MEDICAL CENTER POINT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-1604
Mailing Address - Country:US
Mailing Address - Phone:719-667-4139
Mailing Address - Fax:719-473-8843
Practice Address - Street 1:1633 MEDICAL CENTER POINT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-1604
Practice Address - Country:US
Practice Address - Phone:719-667-4139
Practice Address - Fax:719-473-8843
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK53702085R0202X
LA0252542085R0202X
AZ336812085R0202X
CO447782085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK5370OtherALASKA STATE LICENSE
00398789OtherRADSOCNORTHAMERICA MEM #
AZ33681OtherARIZONA STATE LICENSE
LA025254OtherLOUISIANA STATE BOARD LIC
CO12756041Medicaid
CO12756041Medicaid
AK5370OtherALASKA STATE LICENSE
COCOA105132Medicare PIN