Organization Active NPI

Holly Fritch Kirby, M.D., L.L.C.

  • Dermatology Physician
  • Leawood, KS
National Provider Identifier
1013965805
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
18382 Issued in KS
Legal business name
HOLLY FRITCH KIRBY, M.D., L.L.C.
Practice address
11201 Nall Ave
Suite 100
Leawood, KS 66211-1669
Phone
(913) 451-3030
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Dr. Holly Fritch, M.D.NPI 1740381508
Title
Manager
Phone
(913) 451-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 18382 KS Primary
Procedural Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207NS0135X 18382 KS

Addresses

Primary practice location

11201 Nall Ave
Suite 100
Leawood, KS 66211-1669

Mailing address

11201 Nall Ave
Suite 100
Leawood, KS 66211-1669
Phone (913) 451-3030

Other identifiers 1

IdentifierTypeStateIssuer
X780000AOtherKSMEDICARE GROUP PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130520000491 KS Part B Supplier - Clinic/Group Practice 3678710258 Receives reassigned benefits from 1 practitioner
Practice locations: Leawood, KS

National Provider Directory

National Provider Directory

Locations

11201 Nall Ave
Ste 100
Leawood, KS 66211
Phone (913) 451-3030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1013965805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 NALL AVE",
            "address_2": "SUITE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111669",
            "telephone_number": "913-451-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 NALL AVE",
            "address_2": "SUITE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111669",
            "telephone_number": "913-451-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY FRITCH KIRBY, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "FRITCH",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "913-451-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "KS",
            "license": "18382",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "KS",
            "license": "18382",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER #",
            "identifier": "X780000A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.