Active NPI
Charles Henry Kirsch, M.D.
- General Practice Physician
- Tallahassee, FL
National Provider Identifier
1326450792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME134653
- Practice address
- 2633 Mahan Dr
Tallahassee, FL 32308-5405 - Phone
- (850) 906-5049
- Fax
- (850) 806-1862
- NPI assigned
- May 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME134653 | FL | Primary |
Addresses
Primary practice location
2633 Mahan Dr
Tallahassee, FL 32308-5405
Mailing address
2633 Mahan Dr
Tallahassee, FL 32308-5405
Phone (850) 906-5049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME134653 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1326450792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2633 MAHAN DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085405",
"telephone_number": "850-906-5049",
"fax_number": "850-806-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2633 MAHAN DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085405",
"telephone_number": "850-906-5049",
"fax_number": "850-806-1862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRSCH",
"first_name": "CHARLES",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-20",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME134653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.