Kirk Jarman, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA10004277 Issued in WA

Practice address

1625 Mottman Rd SW
Suite a
Tumwater, WA 98512-7833

Phone

(360) 528-2822

Fax

(360) 528-2830

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Simonian Sports Medicine Clinic a Medical Corporation

  • Orthopaedic Surgery Physician
  • Clovis, CA
  • NPI 1942262555
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1588658124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985070368",
            "telephone_number": "360-491-8439",
            "fax_number": "360-491-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MOTTMAN RD SW",
            "address_2": "SUITE A",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127833",
            "telephone_number": "360-528-2822",
            "fax_number": "360-528-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARMAN",
        "first_name": "KIRK",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA16431",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA10004277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8466252",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J&K Healthcare Enterprises Inc
• Lacey Jackson, LMP
• Susan R. Renee Jackson, LMP
• Sara E James
• Nichole L Jardine, LCSW
• Angelina H. Jefferson
• Christopher Scott Jefferson, RN
• Jennifer Koch, Psy.D., PLLC
• Douglas N. Jeske, O.D.
• Noelle Johnson-Oldham, LMT

• Surgical Physician Assistant in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Surgical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.