Provider Demographics
NPI:1972585727
Name:STARINSKI, JOHN STEPHEN (DPM)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:STEPHEN
Last Name:STARINSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:STEPHEN
Other - Last Name:STARINSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:215 S ROBINSON AVE
Mailing Address - Street 2:
Mailing Address - City:PEN ARGYL
Mailing Address - State:PA
Mailing Address - Zip Code:18072-1946
Mailing Address - Country:US
Mailing Address - Phone:610-881-4025
Mailing Address - Fax:610-881-4066
Practice Address - Street 1:215 S ROBINSON AVE
Practice Address - Street 2:
Practice Address - City:PEN ARGYL
Practice Address - State:PA
Practice Address - Zip Code:18072-1946
Practice Address - Country:US
Practice Address - Phone:610-881-4025
Practice Address - Fax:610-881-4066
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002906L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT30660Medicare UPIN
PA482027Medicare ID - Type Unspecified