Kirk T Quackenbush, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

26543 Issued in CO

Practice address

1600 Prairie Center Pkwy
Brighton, CO 80601-4006

Phone

(303) 458-1600

NPI assigned

Feb 6, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Apex Emergency Group, Inc

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1740231356
  NPD (past)
• Platte Valley Emergency Physicians, PC

  • Emergency Medicine Physician
  • Brighton, CO
  • NPI 1508836198
  NPD (past)
• Platte Valley Medical Group LLC

  • Family Medicine Physician
  • Brighton, CO
  • NPI 1730698820
  NPD (past)
• Premier Emergency Services, Inc

  • Emergency Medicine Physician
  • Westminster, CO
  • NPI 1457755688
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1497727184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S WADSWORTH BLVD",
            "address_2": "SUITE 410",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263111",
            "telephone_number": "303-202-1283",
            "fax_number": "303-202-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PRAIRIE CENTER PKWY",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014006",
            "telephone_number": "303-458-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACKENBUSH",
        "first_name": "KIRK",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "26543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01265438",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "930098610",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Colorado Medical PC
• Prestige Therapeutic Equestrian Center
• Private Healthcare Facilities
• Professional Sleep Services
• Michelle Qadi El Idrissi, DENTAL HYGIENEIST
• Hayley A Quartuccio, DDS
• Richard Holt Quinn, D.C.
• Philip Quist
• Donald A Rabor, MD
• Rachel Packer DDS PC

• Emergency Medicine Physician in Brighton, CO
• Providers in Brighton, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.