Individual provider Active NPI

James Malcolm Kirsh, D.O.

  • Family Medicine Physician
  • Falmouth, ME
National Provider Identifier
1891791315
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1129 Issued in ME
Practice address
66 Leighton Rd
Falmouth, ME 04105-2225
Phone
(207) 878-9040
Fax
(207) 878-9062
NPI assigned
Jun 21, 2005
Reactivated
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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 1129 ME Primary

Addresses

Primary practice location

66 Leighton Rd
Falmouth, ME 04105-2225

Mailing address

66 Leighton Rd
Suite One
Falmouth, ME 04105-2225
Phone (207) 878-9040

Other identifiers 1

IdentifierTypeStateIssuer
1209000MedicaidME

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
Karen L. Roberts, D.O. Professional Corporation 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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1891791315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LEIGHTON RD",
            "address_2": "SUITE ONE",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052225",
            "telephone_number": "207-878-9040",
            "fax_number": "207-878-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LEIGHTON RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052225",
            "telephone_number": "207-878-9040",
            "fax_number": "207-878-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSH",
        "first_name": "JAMES",
        "middle_name": "MALCOLM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2010-01-11",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1209000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.