Henry Alden Kirk, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

19374 Issued in MS

Practice address

2169 S Lamar Blvd
Oxford, MS 38655-5223

Phone

(662) 234-1530

Fax

(662) 236-0028

NPI assigned

Apr 11, 2007

Last updated

May 27, 2008By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Mississippi School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of Mississippi - University of Mississippi Medical CenterGroup PAC ID 1850293036, 956 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168
• Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hkirk72011@ummc.direct-ci.com

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.

• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment Care Compare group NPD
• Oxford Pre Op & Imaging Center LLC

  • Radiology Clinic/Center
  • Oxford, MS
  • NPI 1750646436
  Medicare reassignment NPD
• Surgery Consultants of Oxford

  • Vascular Surgery Physician
  • Oxford, MS
  • NPI 1124241401
  Medicare reassignment
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD

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

• Baptist Memorial Hospital North Mississippi, Inc

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1053375576
  Care Compare affiliation
• State of Mississippi-University of Mississippi Medical Center

  dba University of Mississippi Center - Grenada Psych

  • Psychiatric Hospital
  • Grenada, MS
  • NPI 1083041917
  Care Compare affiliation
• State of Mississippi-University of Mississippi Medical Center

  dba University of Mississippi Center-Grenada

  • General Acute Care Hospital
  • Grenada, MS
  • NPI 1558798603
  Care Compare affiliation

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1629291919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555223",
            "telephone_number": "662-234-1530",
            "fax_number": "662-236-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555223",
            "telephone_number": "662-234-1530",
            "fax_number": "662-236-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "HENRY",
        "middle_name": "ALDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "19374",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MS",
            "license": "19374",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MS",
            "license": "19374",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02125899",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Lewis King, M.D.
• William H. King, M.D.
• Brittany Ann Kinman, PHD
• Ambriel Kinney, MSW, LCSW
• Amber Kristen Kirk, LMSW
• Kecia K Kirk, M.D.
• Neeli Kirkendall, RN, MSN, CFNP, DNP
• John Kirkpatrick
• Bianca Kirsch
• Leslie Michelle Kisner, BA

• Vascular Surgery Physician in Oxford, MS
• Providers in Oxford, MS by specialty
• Vascular Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.