Individual provider Active NPI

Darrel Dean Newkirk, MD, MPH

  • General Practice Physician
  • Charleston, WV
National Provider Identifier
1013204999
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
04-17311 Issued in KS
Practice address
5322 Robert Rd
Charleston, WV 25313-1156
Phone
(304) 759-9243
NPI assigned
Jun 29, 2011
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X R3J11 MO
General Practice Physician 208D00000X 04-17311 KS Primary

Addresses

Primary practice location

5322 Robert Rd
Charleston, WV 25313-1156

Mailing address

5322 Robert Rd
Charleston, WV 25313-1156
Phone (304) 759-9243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R3J11MOMDPublic Health & General Preventive Medicine Physician
04-17311KSMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1013204999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 ROBERT RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253131156",
            "telephone_number": "304-759-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 ROBERT RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253131156",
            "telephone_number": "304-759-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWKIRK",
        "first_name": "DARREL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MO",
            "license": "R3J11",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "04-17311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.