Kirk E Maes M D P a

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

ME00078507 Issued in FL

Legal business name

KIRK E MAES M D P A

Practice address

13000 US Highway 1
Suite 5
Sebastian, FL 32958-3773

Phone

(772) 581-5881

Fax

(772) 581-5883

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kirk Edwin Maes, M.D.

Title

Owner

Phone

(772) 581-5881

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1689619587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 US HIGHWAY 1",
            "address_2": "SUITE 5",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583773",
            "telephone_number": "772-581-5881",
            "fax_number": "772-581-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 US HIGHWAY 1",
            "address_2": "SUITE 5",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583773",
            "telephone_number": "772-581-5881",
            "fax_number": "772-581-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK E MAES M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "MAES",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-581-5881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME00078507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257656200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Daniel Kennett
• Hai Kenney, D.O.
• Farhat Javed Khawaja, M.D.
• Erika King, DDS
• Jennifer E Kinsey, RN
• Emily A Kline, PTA
• Christina Knowles, COTA/L
• Krystal Lynn Koivisto, HIS
• John D. Koziarski, M.D.
• Kristine Isham Inc

• Sports Medicine (Orthopaedic Surgery) Physician in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.