Kirk Agerson MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KIRK AGERSON MD PC

Practice address

2849 Michigan St NE
Grand Rapids, MI 49506-1216

Phone

(616) 285-6450

Fax

(616) 285-6455

NPI assigned

Nov 8, 2018

Last updated

Nov 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kirk Joseph Agerson, MDNPI 1245226380

Title

President

Phone

(616) 540-0876

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirk Joseph Agerson, MD

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1245226380
  Authorized official Same address or phone

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1275001034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061216",
            "telephone_number": "616-285-6450",
            "fax_number": "616-285-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2849 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061216",
            "telephone_number": "616-285-6450",
            "fax_number": "616-285-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK AGERSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "AGERSON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-540-0876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Marie Kippe, PA
• Julie Ann Kirby, D.O.
• Krissa Kirby, PH.D
• Sara C Kirchhoff, LMSW
• Orena J Kirchner, FNP
• Anthony J Kirk, DPM PC
• Robert Spencer Kirkland, MD
• Terri Lynne Kirkpatrick
• Terry K Kirkpatrick, MS, RPH
• David A Kirkwood, PHARM D.

• Primary Care Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.