Individual provider Active NPI

Gunda Lee Kirk, D.O.

  • Family Medicine Physician
  • Weatherford, TX
National Provider Identifier
1831212844
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0523 Issued in TX
Practice address
750 Eureka St Ste B
Weatherford, TX 76086-6521
Phone
(855) 893-5637
Fax
(817) 666-3873
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0523 TX Primary

Addresses

Primary practice location

750 Eureka St Ste B
Weatherford, TX 76086-6521

Mailing address

2340 E Trinity Mills Rd Ste 250
Carrollton, TX 75006-1946
Phone (855) 893-5637

Other practice location 1

6029 Belt Line Rd Ste 105
Dallas, TX 75254-7873
Phone (855) 893-5637

Other practice location 2

1625 N Grand Ave
Gainesville, TX 76240-2343
Phone (855) 893-5637

Other practice location 3

2720 Western Center Blvd Ste 312
Fort Worth, TX 76131-4302
Phone (855) 893-5637

Other practice location 4

1752 Broad Park Cir N Ste 114
Mansfield, TX 76063-7824
Phone (855) 893-5637

Other practice location 5

4004 Medical Pkwy
Greenville, TX 75401-7854
Phone (855) 893-5637

Other practice location 6

1604 Lancaster Dr
Grapevine, TX 76051-3544
Phone (855) 893-5637

Other practice location 7

1305 Airport Fwy Ste 405
Bedford, TX 76021-6607
Phone (855) 893-5637

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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Mar 5, 2018 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

12021 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 348-1900

914 Brazosport Blvd N
Richwood, TX 77531
Phone (979) 230-0407

Interoperability endpoints

  • Direct secure messaging: gunda.kirk.1@27041.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1831212844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E TRINITY MILLS RD STE 250",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061946",
            "telephone_number": "855-893-5637",
            "fax_number": "817-666-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 EUREKA ST STE B",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866521",
            "telephone_number": "855-893-5637",
            "fax_number": "817-666-3873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6029 Belt Line Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752547873",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762402343",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 Western Center Blvd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761314302",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1752 Broad Park Cir N Ste 114",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760637824",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4004 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017854",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1604 Lancaster Dr",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760513544",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Airport Fwy Ste 405",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760216607",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRK",
        "first_name": "GUNDA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.