Organization Active NPI

J Kirk & Company P C

  • Surgery Physician
  • Owasso, OK
National Provider Identifier
1184818221
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3269 Issued in OK
Legal business name
J KIRK & COMPANY P C
Practice address
10512 N 110TH East Ave
Suite 100
Owasso, OK 74055-6636
Phone
(918) 622-8513
Fax
(918) 622-8552
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Joebob Kirk, DO
Title
Physician/Owner
Phone
(918) 272-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 3269 OK Primary

Addresses

Primary practice location

10512 N 110TH East Ave
Suite 100
Owasso, OK 74055-6636

Mailing address

PO Box 599
Stigler, OK 74462-0599
Phone (918) 272-6333

National Provider Directory

National Provider Directory

Locations

10502 N 110th East Ave
Ste 340
Owasso, OK 74055
Phone (918) 272-6333

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1184818221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 599",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744620599",
            "telephone_number": "918-272-6333",
            "fax_number": "918-272-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10512 N 110TH EAST AVE",
            "address_2": "SUITE 100",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556636",
            "telephone_number": "918-622-8513",
            "fax_number": "918-622-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J KIRK & COMPANY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "JOEBOB",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "918-272-6333",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "3269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.