John Joseph Kirkowski, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS003118L Issued in PA

Practice address

127 Sullivan St
Canton, PA 17724-1733

Phone

(570) 673-3197

Fax

(570) 673-8297

NPI assigned

Aug 20, 2006

Last updated

Jun 9, 2015By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Guthrie Medical Group, P.C.

  • Family Medicine Physician
  • Athens, PA
  • NPI 1962451153
  NPD
• Chemung Medical Services PC

  dba Arnot Medical Services

  • Internal Medicine Physician
  • Elmira, NY
  • NPI 1356378889

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1558476648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 SULLIVAN ST",
            "city": "CANTON",
            "state": "PA",
            "postal_code": "177241733",
            "telephone_number": "570-673-3197",
            "fax_number": "570-673-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKOWSKI",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003118L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101235309",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guthrie Medical Group, P.C.
• Jacqueline Harper
• John David Higham, M.A.
• House of Light Drug and Alcohol Counseling, Inc.
• Eric Humble
• David Thomas Kopetan, DMD
• Leah Lariviere
• Andrew N Mack, DMD
• Martha Lloyd - Center Street
• Martha Lloyd Community Residential Facility

• Family Medicine Physician in Canton, PA
• Providers in Canton, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.