Active NPI
Steven E Kitchen X, MD
- Obstetrics & Gynecology Physician
- Albany, GA
National Provider Identifier
1740273267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 032222
- Practice address
- 414 5TH Ave
Albany, GA 31701-1918 - Phone
- (229) 883-4555
- Fax
- (229) 438-1430
- NPI assigned
- Aug 30, 2005
- Last updated
- Jan 6, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 032222 | GA | Primary |
Addresses
Primary practice location
414 5TH Ave
Albany, GA 31701-1918
Mailing address
414 5TH Ave
Albany, GA 31701-1918
Phone (229) 883-4555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00400628A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032222 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Area Primary Health Care, Inc | Past | Accepting new patients |
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.
-
dba Radium Springs Middle School-Based Health Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1013709625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1740273267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 5TH AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011918",
"telephone_number": "229-883-4555",
"fax_number": "229-438-1430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 5TH AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011918",
"telephone_number": "229-883-4555",
"fax_number": "229-438-1430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHEN",
"first_name": "STEVEN",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "X",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "032222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00400628A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.