John Howarth Kirk III, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Saint Helena, CA
NPI 1922020783 · NPPES record last updated Jun 16, 2016
Key facts
- NPI
- 1922020783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- A54807 (CA)
- Practice address
- 821 Saint Helena Hwy S
Saint Helena, CA 94574-2266 - Phone
- (707) 967-7550
- Fax
- (707) 963-5083
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Yale University School of Medicine, 1994
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sutter Coast Hospital
Practice addresses (Care Compare)
780 E Washington Blvd
Crescent City, CA 95531-8397
Phone (707) 464-6715
Hospital & facility affiliations
- Sutter Coast Hospital
- California Pacific Medical Ctr-Davies Campus Hosp
- Mad River Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.99 of 100
- Quality
- 57.99
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.95
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060227000225 | CA | Practitioner - Obstetrics/Gynecology | 0941216196 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A54807 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Coast Hospital | Current |
Accepting new patients | |
| Sutter Coast Hospital | Current |
Accepting new patients | |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients | |
| Adventist Health California Medical Group, Inc. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| St. Helena Hospital | Past | Accepting new patients | |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| Queen of the Valley Medical Association | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients |
Locations
800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511
780 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-5974
Interoperability endpoints
- jkirk226924@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A54807 | CA | Yes |
Addresses
Primary practice location
821 Saint Helena Hwy S
Saint Helena, CA 94574-2266
Mailing address
PO Box 228
Saint Helena, CA 94574-0228
Phone (707) 967-7550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0081501 | Other | CA | MEDI-CAL |
| GR0081500 | Medicaid | CA |
Other providers in Saint Helena, CA
- Karynne O. Duncan, M.D., Inc
- Armin Kiankhooy
- David Kim
- Melody M. Kim
- Aaron Maxwell Kime
- Lake Silverado Cardiovascular Consultants
- Jordan Lamasters
- Marya Eileen Leahy
- Jason Lap Lee
- Nora Lee
All providers in Saint Helena, CA · Obstetrics & Gynecology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.