Active NPI
Jeanne Marie Kirkland, M.D.
- Family Medicine Physician
- Dayton, OH
National Provider Identifier
1124108980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 45543
- Practice address
- 5928 Springboro Pike
Dayton, OH 45449-3250 - Phone
- (937) 433-0220
- Fax
- (937) 434-4405
- NPI assigned
- Oct 16, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 45543 | OH | Primary |
Addresses
Primary practice location
5928 Springboro Pike
Dayton, OH 45449-3250
Mailing address
5928 Springboro Pike
Dayton, OH 45449-3250
Phone (937) 433-0220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at San Antonio, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5928 Springboro Pike
Dayton, OH 45449-3250
Phone (937) 433-0220
Hospital & facility affiliations
- Kettering Health Dayton
- Kettering Health Miamisburg
- Kettering Health Main Campus
- Miami Valley Hospital
- Soin Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 12 |
| Removal or shaving of skin growth | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45543 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clem Kirkland, M.D., Inc | Family Medicine | Current | Accepting new patients |
| Midwest Ultrasound, Inc. | Past | Accepting new patients |
Locations
5928 Springboro Pike
Dayton, OH 45449
Phone (937) 433-0220
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4WhyRArSk37mMNgPi8abRFnIJRbnJPpW/
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Dayton, OH
- NPI 1740461763
-
- Sonography Specialist/Technologist Cardiovascular
- Cincinnati, OH
- NPI 1447203849
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1124108980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5928 SPRINGBORO PIKE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454493250",
"telephone_number": "937-433-0220",
"fax_number": "937-433-0623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5928 SPRINGBORO PIKE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454493250",
"telephone_number": "937-433-0220",
"fax_number": "937-434-4405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKLAND",
"first_name": "JEANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "45543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.