Organization Active NPI

John Kirk MD

  • Specialist
  • Longview, TX
National Provider Identifier
1174864060
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
JOHN KIRK MD
Practice address
705 E Marshall Ave
Suite 3000
Longview, TX 75601-5573
Phone
(903) 315-2700
Fax
(903) 663-8765
NPI assigned
Mar 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Michelle J Trich
Title
Office Manager
Phone
(903) 663-8756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

705 E Marshall Ave
Suite 3000
Longview, TX 75601-5573

Mailing address

PO Box 626
Judson, TX 75660-0626
Phone (903) 663-8756

National Provider Directory

National Provider Directory

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": "1362268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1174864060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "JUDSON",
            "state": "TX",
            "postal_code": "756600626",
            "telephone_number": "903-663-8756",
            "fax_number": "903-663-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE",
            "address_2": "SUITE 3000",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015573",
            "telephone_number": "903-315-2700",
            "fax_number": "903-663-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KIRK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-03",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "TRICH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-663-8756"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.