Active NPI
Thomas E Kirby, PA-C
- Physician Assistant
- Irvine, KY
National Provider Identifier
1841294576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA853
- Practice address
- 417 River Dr
Irvine, KY 40336-1272 - Phone
- (606) 723-0399
- Fax
- (606) 723-0379
- NPI assigned
- Jun 10, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA853 | KY | Primary |
Addresses
Primary practice location
417 River Dr
Irvine, KY 40336-1272
Mailing address
417 River Dr
Irvine, KY 40336-1272
Phone (606) 723-0399
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA853 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herbert W Long | 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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Irvine, KY
- NPI 1770705873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1841294576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 RIVER DR",
"city": "IRVINE",
"state": "KY",
"postal_code": "403361272",
"telephone_number": "606-723-0399",
"fax_number": "606-723-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 RIVER DR",
"city": "IRVINE",
"state": "KY",
"postal_code": "403361272",
"telephone_number": "606-723-0399",
"fax_number": "606-723-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "THOMAS",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.