Provider Demographics
NPI:1811929797
Name:STARRE, JEFFREY (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:STARRE
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 1:4325 POST RD SE
Mailing Address - Street 2:
Mailing Address - City:JEWETT
Mailing Address - State:OH
Mailing Address - Zip Code:43986-9620
Mailing Address - Country:US
Mailing Address - Phone:330-312-1966
Mailing Address - Fax:
Practice Address - Street 1:4325 POST RD SE
Practice Address - Street 2:
Practice Address - City:JEWETT
Practice Address - State:OH
Practice Address - Zip Code:43986-9620
Practice Address - Country:US
Practice Address - Phone:330-312-1966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.062644208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0914283Medicaid
WV1805401000Medicaid
WV1805401000Medicaid
OH0914283Medicaid