Jeffrey P Kirsch MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

E2703 Issued in AR

Legal business name

JEFFREY P KIRSCH MD PA

Practice address

2425 Dave Ward Dr Ste 101
Conway, AR 72034-8679

Phone

(501) 932-7600

Fax

(501) 932-7603

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey Phillip Kirsch, MD

Title

MD Owner

Phone

(501) 932-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ear Nose & Throat Center of Conway Doing business as

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1295958346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 DAVE WARD DR STE 101",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348679",
            "telephone_number": "501-932-7600",
            "fax_number": "501-932-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 DAVE WARD DR STE 101",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348679",
            "telephone_number": "501-932-7600",
            "fax_number": "501-932-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY P KIRSCH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "KIRSCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "501-932-7600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "E2703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145207002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ear Nose & Throat Center of Conway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Addington Nicole Jarrell
• Maria Javaid, M.D.
• Javed K Shinwari, MD,PA
• Akia Renee Jean-Pierre
• Drayllon L Jeffery
• Jackson Jenkins
• Tusani Juncille Jergins
• Myles Jerrels
• Brayden Michael Jimerson
• JJJ Smith, Inc

• All providers in Conway, AR
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.