Individual provider Active NPI

Ronald W Kirkwood, DO

  • Family Medicine Physician
  • Pasadena, TX
National Provider Identifier
1528043221
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H4467 Issued in TX
Practice address
4001 Preston Ave
Suite 110
Pasadena, TX 77505-2019
Phone
(281) 249-2251
Fax
(281) 249-2282
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H4467 TX Primary

Addresses

Primary practice location

4001 Preston Ave
Suite 110
Pasadena, TX 77505-2019

Mailing address

4001 Preston Ave
Suite 110
Pasadena, TX 77505-2019
Phone (281) 249-2251

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H4467TXMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: ron.kirkwood@hca9.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1528043221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 PRESTON AVE",
            "address_2": "SUITE 110",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775052019",
            "telephone_number": "281-249-2251",
            "fax_number": "281-249-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 PRESTON AVE",
            "address_2": "SUITE 110",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775052019",
            "telephone_number": "281-249-2251",
            "fax_number": "281-249-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKWOOD",
        "first_name": "RONALD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.