Mary C Kirk MD, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

17797 Issued in OK

Legal business name

MARY C KIRK MD, PLLC

Practice address

6465 S Yale Ave
Suite 310
Tulsa, OK 74136-7823

Phone

(918) 236-3000

Fax

(918) 236-3060

NPI assigned

Oct 18, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Carolyn Kirk, MD

Title

President

Phone

(918) 236-3000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1003126533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE",
            "address_2": "SUITE 310",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367823",
            "telephone_number": "918-236-3000",
            "fax_number": "918-236-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE",
            "address_2": "SUITE 310",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367823",
            "telephone_number": "918-236-3000",
            "fax_number": "918-236-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY C KIRK MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CAROLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-236-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "17797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RX",
            "identifier": "243334201",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100910A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Martinson
• Kristen Renee Marts
• Martin Leo Martucci, M.D.
• Ashley Michelle Martyniuk, LMSW
• McKenzie Marx
• Frehiwot Marye
• Candace Dawn Marzett
• Shondra Deon Marzett
• Samuel Tobey Marzouk, MA
• Jaci Mashburn

• Obstetrics & Gynecology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Obstetrics & Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.