Active NPI
Patrick James Kirkland, M.D.
- Emergency Medicine Physician
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- Q3535
- Practice address
- 2101 S Coulter St
Amarillo, TX 79106 - Phone
- (806) 350-7744
- Fax
- (806) 350-7776
- NPI assigned
- Dec 7, 2007
- Last updated
- Aug 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | T2036 | MS | |
| Emergency Medicine Physician | 207P00000X | Q3535 | TX | Primary |
Addresses
Primary practice location
2101 S Coulter St
Amarillo, TX 79106
Mailing address
2101 S Coulter St
Amarillo, TX 79106-2513
Phone (806) 350-7744
Other practice location 1
2101 S Coulter St Ste 200
Amarillo, TX 79106-2513
Phone (806) 350-4477
Other practice location 2
5800 S Coulter St
Amarillo, TX 79119-6203
Phone (806) 398-7744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13768683 | Other | CAQH |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Mississippi School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 483-0011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T2036 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonita Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Meridian, MS
- NPI 1992563969
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ochsner Rush Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1770543399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1679756084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 S COULTER ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062513",
"telephone_number": "806-350-7744",
"fax_number": "806-350-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 S COULTER ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79106",
"telephone_number": "806-350-7744",
"fax_number": "806-350-7776"
}
],
"practiceLocations": [
{
"address_1": "2101 S Coulter St Ste 200",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791062513",
"country_code": "US",
"telephone_number": "806-350-4477",
"fax_number": "806-350-4480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5800 S Coulter St",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791196203",
"country_code": "US",
"telephone_number": "806-398-7744",
"fax_number": "806-398-9633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRKLAND",
"first_name": "PATRICK",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-07",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "T2036",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "Q3535",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13768683",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
- Allegra Noel Kinzer, RN, NP-C
- Pamela M Kirby, PSY. D.
- Samuel E Kirkendall, M.D.
- Kirkland Court Health Care LLC (Kirkland Court Health and Rehabilitation Center)
- Jerry Lynn Kirkland, MD
- Ilan Kiselstein, DDS
- Lawrence Edward Kitchens III
- Donna Raef Kizziar, APRN, FNP-C
- Mason Kizziar, APRN-FNP, RNFA, CST
- KJB Anesthesia, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.