Robert M Kirk, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

29104 Issued in KY

Practice address

815 E Parrish Ave
Ste 450
Owensboro, KY 42303-3223

Phone

(270) 685-3700

Fax

(270) 685-0998

NPI assigned

May 23, 2005

Reactivated

Mar 20, 2006

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 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1780687905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E PARRISH AVE",
            "address_2": "STE 450",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033223",
            "telephone_number": "270-685-3700",
            "fax_number": "270-685-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E PARRISH AVE",
            "address_2": "STE 450",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033223",
            "telephone_number": "270-685-3700",
            "fax_number": "270-685-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-01-13",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "29104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64291040",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100028040",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "K011431",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 12 DIGIT",
            "identifier": "000000049966",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1463195",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1064356",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 4 DIGIT",
            "identifier": "18B4",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "272388",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth E King, M.S.,CCC-SLP
• Kingdom Cove Ministries, LLC
• Kiper Developmental Therapy
• Holly Kiper
• Rhonda Gail Kircher
• Dodie L Kirkendoll, APRN
• Madallyn Kirkpatrick
• Benjamin J Kittinger, M.D.
• Janae L Kittinger, MD
• Ryan Kizer

• Gastroenterology Physician in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Gastroenterology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.