Marshall Scott Kirk, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO4161 Issued in FL

Practice address

10815 Jennifer LN # 10815
Boca Raton, FL 33428-4054

Phone

(561) 360-7482

NPI assigned

Nov 8, 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 1

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Audrey Abatemarco D.P.M.

  • Customized Equipment (DME)
  • New York, NY
  • NPI 1356517346
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1821167172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 JENNIFER LN # 10815",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284054",
            "telephone_number": "561-360-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 JENNIFER LN # 10815",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284054",
            "telephone_number": "561-360-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "MARSHALL",
        "middle_name": "SCOTT",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10677340",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle J Kinmon, D.P.M.
• Kioko, LLC
• Elyce Kiperman-Gordon, MS, LCMHC, NCC
• Mateusz Kiraga
• Latia Shanae Kirby, OTR/L
• Lisa Barbara Kirschenbaum, MSCCCSLP
• Barry Jay Kirshner, PH.D.
• Rebecca Michelle Kish
• Erica Kitchen, MSN, APRN, FNP-BC
• Richard J Kitt, DDS

• Podiatrist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.