Active NPI
Nicole Kirk, PA
- Physician Assistant
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0003142
- Practice address
- 9000 Franklin Square Dr
Baltimore, MD 21237-3901 - Phone
- (410) 682-7046
- NPI assigned
- May 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0003142 | MD | Primary |
Addresses
Primary practice location
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Mailing address
1000 River Rd
Suite 100
Conshohocken, PA 19428-2439
Phone (800) 355-3818
Other names 1
- Nicole Offit
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505
12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (410) 877-8087
4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258
6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890
6500 Baltimore National Pike
Catonsville, MD 21228-4200
Phone (410) 807-8067
7825 York Rd
Towson, MD 21204-7445
Phone (443) 332-4353
8605 Ridgelys Choice Dr
Nottingham, MD 21236-2953
Phone (410) 248-2310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0003142 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| Charles Emergency Physicians PA | Past | Accepting new patients | |
| Ez Primed LLC | Past | Accepting new patients | |
| Medlantic Healthcare Group | Past | Accepting new patients |
Locations
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
1419 Knecht Ave
Halethorpe, MD 21227
Phone (410) 247-9595
4451 Parliament Pl
Ste G
Lanham, MD 20706
Phone (301) 459-9113
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
- Urgent Care Clinic/Center
- Timonium, MD
- NPI 1386952034
-
- Vascular Surgery Physician
- Prince Frederick, MD
- NPI 1063684330
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1942623319
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1578302055
-
- General Practice Physician
- Washington, DC
- NPI 1629394424
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1588610166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053368720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 RIVER RD",
"address_2": "SUITE 100",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282439",
"telephone_number": "800-355-3818",
"fax_number": "610-834-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 FRANKLIN SQUARE DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212373901",
"telephone_number": "410-682-7046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "NICOLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0003142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "OFFIT",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.