Organization Active NPI

Kirk Medical Incorporated

  • Gynecology Physician
  • Glendale, CA
National Provider Identifier
1609196245
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
A54807 Issued in CA
Legal business name
KIRK MEDICAL INCORPORATED
Practice address
1505 Wilson Ter
Suite 220
Glendale, CA 91206-4071
Phone
(818) 241-6132
Fax
(818) 241-6124
NPI assigned
Jun 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
John Howarth Kirk III, M.D.
Title
President/Ceo
Phone
(818) 241-6132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X A54807 CA Primary

Addresses

Primary practice location

1505 Wilson Ter
Suite 220
Glendale, CA 91206-4071

Mailing address

1505 Wilson Ter
Suite 220
Glendale, CA 91206-4071
Phone (818) 241-6132

Other names 1

  • Glendale Gynecology Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1609196245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER",
            "address_2": "SUITE 220",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064071",
            "telephone_number": "818-241-6132",
            "fax_number": "818-241-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER",
            "address_2": "SUITE 220",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064071",
            "telephone_number": "818-241-6132",
            "fax_number": "818-241-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK MEDICAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-05",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HOWARTH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-241-6132",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A54807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale Gynecology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.