Michael Kirwin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35046690 Issued in OH

Practice address

190 N Union St Ste 203
Akron, OH 44304-1362

Phone

(330) 923-3502

Fax

(330) 928-9761

NPI assigned

Jan 16, 2007

Last updated

Feb 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• MBS Envision LLC

  • Speech/Language/Hearing Specialist/Technologist
  • Mahomet, IL
  • NPI 1558970087
  NPD
• Patheous Medical PLLC

  • Diagnostic Radiology Physician
  • Leawood, KS
  • NPI 1366121527
  NPD
• American Health Network of Ohio, LLC

  dba American Health Network of Ohio LLC / TELERADIOLOGY

  • Radiology Clinic/Center
  • Columbus, OH
  • NPI 1548142987
  NPD (past)
• Dr Anthony M Johnson MD Inc

  • Diagnostic Radiology Physician
  • Solon, OH
  • NPI 1821297847
  NPD (past)
• Frank Dittrich DO LLC

  • Otolaryngology Physician
  • Cuyahoga Falls, OH
  • NPI 1588908552
  NPD (past)
• Morning View Delaware, Inc.

  dba Country View of Sunbury

  • Skilled Nursing Facility
  • Sunbury, OH
  • NPI 1720080997
  NPD (past)
• Tridia Care Connections, LLC

  • Nurse Practitioner
  • North Olmsted, OH
  • NPI 1679733059
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1669523346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "address_2": "STE 101",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618537460",
            "telephone_number": "913-359-6001",
            "fax_number": "330-923-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N UNION ST STE 203",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041362",
            "telephone_number": "330-923-3502",
            "fax_number": "330-928-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRWIN",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35046690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000505994",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0494488",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ta'Nika Kirk
• Tina Marie Kirkman
• Carlissa Kirkpatrick, LPN
• Kisha Lynise Kirksey
• Amanda Kirsch, LPCC
• Angela Jean Kiser, CPNP
• Jodi Lynn Kish, RN
• Tiffany Kish
• Lauren Lindsay Kishman, D.P.M.
• Neeta Kishore, LSW

• Family Medicine Physician in Akron, OH
• Providers in Akron, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.