| Starkey Skin Llc | |
|
218 W Main St Salem VA 24153-3614 | |
| (540) 389-0110 | |
| (540) 389-0114 |
| Full Name | Starkey Skin Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 218 W Main St, Salem, Virginia |
| Authorized Official Name and Position | Michele M Meinhart (CEO) |
| Authorized Official Contact | 5408195062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starkey Skin Llc Po Box 4127 Roanoke VA 24015-0127 Ph: (540) 981-9394 | Starkey Skin Llc 218 W Main St Salem VA 24153-3614 Ph: (540) 389-0110 |
| NPI Number | 1639410053 |
|---|---|
| Provider Enumeration Date | 03/11/2013 |
| Last Update Date | 05/22/2019 |
| Medicare PECOS PAC ID | 4789823147 |
|---|---|
| Medicare Enrollment ID | O20130614000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639410053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michele Merritt Meinhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447235510 PECOS PAC ID: 0244143188 Enrollment ID: I20031204000383 |
| Provider Name | Brian D Buchanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356315980 PECOS PAC ID: 3173510195 Enrollment ID: I20040429001173 |
| Provider Name | Eunyoung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841476249 PECOS PAC ID: 8426199712 Enrollment ID: I20130801000914 |
| Provider Name | Colleen F Rutledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720515307 PECOS PAC ID: 1557634169 Enrollment ID: I20170901002041 |
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