Jonathon R Kirsch, D.O.

Key facts

NPI

1619903846

Entity type

Individual (NPI type 1)

Primary specialty

Neuromusculoskeletal Medicine & OMM Physician 204D00000X

License

63011-21 (WI)

Practice address

800 W Jefferson St
Kirksville, MO 63501-1443

Phone

(660) 626-2304

Fax

(660) 626-2626

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 5

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.

• A T Still University of Health Sciences Family Medicine Physician · Kirksville, MO · NPI 1164484887
  Medicare reassignment Care Compare group MO
• A T Still University of Health Sciences Rural Health Clinic/Center · Kirksville, MO · NPI 1245051895
  Care Compare group
• A T Still University of Health Sciences Dentist · Mesa, AZ · NPI 1285845776
  Care Compare group
• A T Still University of Health Sciences Audiologist · Mesa, AZ · NPI 1346586468
  Care Compare group
• Jonathan Kirsch,DO PC Neuromusculoskeletal Medicine & OMM Physician · Glendale, AZ · NPI 1972781110
  NPD (past) NEUROMUSCULOSKELETAL MEDICINE & OMM

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kirksville Missouri Hospital Company, LLC General Acute Care Hospital · Kirksville, MO · NPI 1104899442
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Osteopathic Manipulative Medicine
Also: General Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A T Still University of Health Sciences (21 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Regional Medical Center Hospital · Kirksville, MO · CCN 260022

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jonathon.kirsch@atsu.directbygreenway.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 17, 2019.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1619903846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011443",
            "telephone_number": "660-626-2304",
            "fax_number": "660-626-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011443",
            "telephone_number": "660-626-2304",
            "fax_number": "660-626-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "JONATHON",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "AZ",
            "license": "3247",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WI",
            "license": "63011-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390732",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Kirksville, MO · Neuromusculoskeletal Medicine & OMM Physician in Missouri