Active NPI
Kirk Medical Incorporated
- Gynecology Physician
- Glendale, CA
National Provider Identifier
1609196245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- A54807
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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
National Provider Directory
National Provider DirectoryNPI 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.