Active NPI
John Kirk MD
- Specialist
- Longview, TX
National Provider Identifier
1174864060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Longview, TX
- NPI 1356318042
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.