Provider Demographics
NPI:1851311880
Name:STARR, MICHAEL JOSEPH (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:STARR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:
Practice Address - Street 1:549 FAIR ST.
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-6151
Practice Address - Country:US
Practice Address - Phone:570-387-2111
Practice Address - Fax:570-387-2245
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010359L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1385017OtherBLUE SHIELD
PA930114313OtherRAILROAD MEDICARE
PA18907400004Medicaid
PAST055581OtherMEDICARE
PA232809429OtherTRICARE
PA321845OtherHEALTH AMERICA
PA930114313OtherRAILROAD MEDICARE