Michael J Kirby MD PLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301080170 Issued in MI

Legal business name

MICHAEL J KIRBY MD PLC

Practice address

445 N Fenway Dr
Fenton, MI 48430-2666

Phone

(810) 750-6060

Fax

(810) 750-6081

NPI assigned

Jun 15, 2011

Organization subpart

No

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

Authorized official

Name

Michael J Kirby, MDNPI 1760429450

Title

Owner

Phone

(810) 750-6060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael John Kirby, M.D.

  • Pediatrics Physician
  • Fenton, MI
  • NPI 1760429450
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1467747774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N FENWAY DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302666",
            "telephone_number": "810-750-6060",
            "fax_number": "810-750-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N FENWAY DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302666",
            "telephone_number": "810-750-6060",
            "fax_number": "810-750-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J KIRBY MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-750-6060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301080170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Michael Meredith, B.S.
• Natalie Ann Merkel, BSW
• Aline A Mesh, D.M.D.
• Joseph E Mesh, D.M.D.
• Michael D Zerafa PLLC
• Michael S. O'Hara, P.C.
• Brian Andrew Michalkow, DDS
• Michigan Center for Orthopedic Surgery PLC
• Michigan Language Crafters
• Michigan Specialty Care Pharmacy LLC

• Pediatrics Physician in Fenton, MI
• Providers in Fenton, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.