Stephen L Kirkner, D.O.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

5101007908 Issued in MI

Practice address

1111 Teneyck St
Suite 100
Jackson, MI 49201-2461

Phone

(517) 787-8940

Fax

(517) 787-9054

NPI assigned

Oct 18, 2005

Last updated

Mar 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Otolaryngology

Education

Michigan State University College of Osteopathic Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
• Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skirkner452835@direct.hfhs.org

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.

• W. a. Foote Memorial Hospital

  dba Allegiance Health

  • Internal Medicine Physician
  • Jackson, MI
  • NPI 1760437826
  Medicare reassignment Care Compare group NPD
• ENT Associates of Jackson, P.C.

  • Otolaryngology Physician
  • Jackson, MI
  • NPI 1922109438
  NPD (past) Authorized official
• W.a. Foote Memorial Hospital

  dba Henry Ford Allegiance Health

  • Physician Assistant
  • Jackson, MI
  • NPI 1538606348
  NPD
• W.a. Foote Memorial Hospital

  dba Henry Ford Allegiance Health

  • Emergency Medicine Physician
  • Jackson, MI
  • NPI 1265487722
  NPD (past)

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

• Hillsdale Community Health Center

  dba Hillsdale Hospital

  • General Acute Care Hospital
  • Hillsdale, MI
  • NPI 1730115940
  Care Compare affiliation
• W.a. Foote Memorial Hospital

  dba Henry Ford Allegiance Health

  • General Acute Care Hospital
  • Jackson, MI
  • NPI 1053403402
  Care Compare affiliation

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1922097492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 TENEYCK ST",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012461",
            "telephone_number": "517-787-8940",
            "fax_number": "517-787-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 TENEYCK ST",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012461",
            "telephone_number": "517-787-8940",
            "fax_number": "517-787-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKNER",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "5101007908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skirkner452835@direct.hfhs.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1111 Teneyck St",
            "address_2": "Suite 100",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492012461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Ann Kint
• Ravi Singh Kirbat, MD
• April Kirk
• Penni Kirk, LLBSW
• Suzanne Bentley Kirk, BS, MS, FNP
• Chelsea Kirkpatrick, LLPC
• Hana Kisswani
• Vickie Lynn Kittle
• Kittleson MSW Therapy PLLC
• Patricia E Klask, CRNA

• Otolaryngology Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.