Anthony J Kirk, DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

AK400050 Issued in MI

Practice address

2050 Breton Rd SE
Suite 105
Grand Rapids, MI 49546-5547

Phone

(616) 949-1524

Fax

(616) 949-9472

NPI assigned

Aug 30, 2006

Last updated

Apr 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1144330556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 BRETON RD SE",
            "address_2": "SUITE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465547",
            "telephone_number": "616-949-1524",
            "fax_number": "616-949-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 BRETON RD SE",
            "address_2": "SUITE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465547",
            "telephone_number": "616-949-1524",
            "fax_number": "616-949-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "DPM PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "AK400050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4854111170",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4355335",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Kirby, D.O.
• Krissa Kirby, PH.D
• Sara C Kirchhoff, LMSW
• Orena J Kirchner, FNP
• Kirk Agerson MD PC
• Robert Spencer Kirkland, MD
• Terri Lynne Kirkpatrick
• Terry K Kirkpatrick, MS, RPH
• David A Kirkwood, PHARM D.
• Joseph Hasse Kirkwood, DDS

• Podiatrist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.