Individual provider Active NPI

David Louis Kirschke, MD

  • Family Medicine Physician
  • Johnson City, TN
National Provider Identifier
1861550667
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MDF37315 Issued in TN
Practice address
1233 Southwest Ave
Johnson City, TN 37604-6596
Phone
(423) 979-3200
Fax
(423) 979-3267
NPI assigned
Dec 5, 2006
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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 MDF37315 TN Primary

Addresses

Primary practice location

1233 Southwest Ave
Johnson City, TN 37604-6596

Mailing address

729 W Locust St
Johnson City, TN 37604-6503
Phone (423) 914-0840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250224002957 TN Practitioner - Family Practice 6002336807 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDF37315TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee CurrentSince Sep 18, 2024 Accepting new patients
State of Tennessee CurrentSince Sep 18, 2024 Accepting new patients
State of Tennessee Past Accepting new patients
State of Tennessee Past Accepting new patients
State of Tennessee Past Accepting new patients

Locations

403 E G St
Elizabethton, TN 37643
Phone (423) 543-2521

101 Okolona Dr
Erwin, TN 37650
Phone (423) 743-9103

810 W Church St
Greeneville, TN 37745
Phone (423) 798-1749

185 Treasure Ln
Johnson City, TN 37604
Phone (423) 979-3200

219 Princeton Rd
Johnson City, TN 37601
Phone (423) 282-4911

715 W Main St
Mountain City, TN 37683
Phone (423) 727-9731

201 Park Blvd
Rogersville, TN 37857
Phone (423) 272-7641

178 Willow St
Sneedville, TN 37869
Phone (423) 733-2228

Organizations & group practices 5

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1861550667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 W LOCUST ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046503",
            "telephone_number": "423-914-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SOUTHWEST AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046596",
            "telephone_number": "423-979-3200",
            "fax_number": "423-979-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHKE",
        "first_name": "DAVID",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MDF37315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.