Provider Demographics
NPI:1306992086
Name:STARKEY, THOMAS JR (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:STARKEY
Suffix:JR
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 1:3608 GALLEY RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-4310
Mailing Address - Country:US
Mailing Address - Phone:855-384-2656
Mailing Address - Fax:888-389-8263
Practice Address - Street 1:1360 S WADSWORTH BLVD
Practice Address - Street 2:SUITE 112
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-5415
Practice Address - Country:US
Practice Address - Phone:855-384-2656
Practice Address - Fax:888-389-8263
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO465432084P0800X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO14872544Medicaid
CO353732ZGF9OtherMEDICARE PTAN
CO14872544Medicaid