Mark David Kirshner, C.PED, CO

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

8823 Production LN
Ooltewah, TN 37363-6511

Phone

(423) 238-7217

Fax

(423) 285-6647

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark D Kirshner Foot Balance

  • Prosthetic/Orthotic Supplier
  • Knoxville, TN
  • NPI 1063036531
  NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1316036601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 JACK DANCE ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195576",
            "telephone_number": "865-691-8381",
            "fax_number": "865-691-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-285-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSHNER",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "C.PED, CO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703026",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard Michael Kennedy Jr., PA-C
• Janine Marie Kennedy, PA-C
• Kidney Center of Ooltewah- Collegedale LLC
• Eli Yong Kim, M.D.
• Amanda Kirkpatrick, RD, LDN
• Klinner Enterprises
• Thomas Robert Klinner, MD
• Kenneth Knoechel, LPC
• Cassie Marie Kokoszka, PHARMD
• Marilyn Follett Konkel, R.N., M.P.H., C.N.M.

• Specialist in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.