NPIMap

Individual provider Active NPI

Eileen Kirk, MD

  • Obstetrics & Gynecology Physician
  • Dover, NH
National Provider Identifier
1841239936
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
8800 Issued in NH
Practice address
700 Central Ave
Dover, NH 03820-6434
Phone
(603) 742-2424
Fax
(603) 742-1763
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 8800 NH Primary

Addresses

Primary practice location

700 Central Ave
Dover, NH 03820-6434

Mailing address

PO Box 412503
Boston, MA 02241-2503
Phone (617) 726-3884

Other practice location 1

67 Corporate Dr Ste 300
Portsmouth, NH 03801-2847
Phone (603) 742-2424

Other practice location 2

11 John Stark Hwy
Newport, NH 03773-1807
Phone (603) 863-4100

Other identifiers 1

IdentifierTypeStateIssuer
3074681MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040811000378 NH Practitioner - Obstetrics/Gynecology 3678545571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of Ny Upstate Medical University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 Central Ave
Dover, NH 03820-6434
Phone (603) 742-2424

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8800NHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Mar 7, 2022 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Sep 1, 2011 Accepting new patients
The New London Hospital Association, Inc. Obstetrics & Gynecology CurrentSince Sep 1, 2011 Accepting new patients
Wentworth Douglass Physician Corporation Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Mar 7, 2022 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
The New London Hospital Association, Inc. Current Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

15 Old Rollinsford Rd
Ste 102
Dover, NH 03820
Phone (603) 742-7338

273 County Rd
New London, NH 03257
Phone (603) 526-5215

11 John Stark Hwy
Newport, NH 03773
Phone (603) 526-5203

67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092

121 Corporate Dr
Bldg C
Portsmouth, NH 03801
Phone (603) 740-8787

150 Marketplace Blvd
Unit 9
Rochester, NH 03867
Phone (603) 516-4212

Interoperability endpoints

  • Direct secure messaging: kirk.eileen.wdh@direct.partners.masshiway.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1841239936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412503",
            "telephone_number": "617-726-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038206434",
            "telephone_number": "603-742-2424",
            "fax_number": "603-742-1763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Corporate Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038012847",
            "country_code": "US",
            "telephone_number": "603-742-2424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 John Stark Hwy",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "NH",
            "postal_code": "037731807",
            "country_code": "US",
            "telephone_number": "603-863-4100",
            "fax_number": "603-526-5085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRK",
        "first_name": "EILEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "8800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074681",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.