ANTHONY J KIRK (NPI# 1144330556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144330556 |
| Entity Type | Individual |
| Full Name | ANTHONY J KIRK |
| Credential | DPM PC |
| Practice Address |
2050 Breton Rd Se Suite 105 Grand Rapids MI 49546-5547 |
| Practice Telephone | 6169491524 |
| Practice Fax Number | 6169499472 |
| Mailing Telephone | 6169491524 |
| Mailing Fax Number | 6169499472 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | AK400050 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 4854111170 | 01 | |
| MI | 4355335 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467654582 | Anthony David Kirk | Case Manager/Care Coordinator | 2435 Greenway Dr Ne, Salem, OR 97301-4535 | 2007-06-01 |
| Street Address |
2050 BRETON RD SE SUITE 105 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-5547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831624626 | Catrice Morning Bird Thornton | Naturopath | 2050 Breton Rd Se, Suite 109, Grand Rapids, MI 49546-5572 | 2017-04-29 |
| 1861866501 | Cindy Pointe | Speech-Language Pathologist | 2050 Breton Rd Se, Suite 107, Grand Rapids, MI 49546-5572 | 2015-11-18 |
| 1578872438 | Anthony J Kirk Dpm PC | Clinic/Center | 2050 Breton Rd Se, Grand Rapids, MI 49546-5547 | 2010-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699839365 | Martin G Hoffmeister | Podiatrist | 2501 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49505-3700 | 2006-12-20 |
| 1376638114 | Michael J Trompen | Podiatrist | 4915 Cascade Rd Se, Grand Rapids, MI 49546 | 2006-10-04 |
| 1255432977 | Rodney Ray Senneker | Podiatrist | 6703 S Division Ave, Grand Rapids, MI 49548 | 2006-09-26 |
| 1235116872 | Alpine Family Podiatry PC | Podiatrist | 680 3 Mile Rd Nw, Grand Rapids, MI 49544-8218 | 2005-12-24 |
| 1407833049 | Croswell Podiatry Pllc | Podiatrist | 2460 Burton St Se, Suite 200, Grand Rapids, MI 49546-4800 | 2005-12-24 |
| 1740282409 | David Smith | Podiatrist | 56 Benjamin Ave Se, Grand Rapids, MI 49506-1628 | 2005-08-12 |
| 1982029716 | Kent Podiatry | Podiatrist | 1238 Fuller Ave Ne, Grand Rapids, MI 49505-5533 | 2014-03-04 |
| 1205155819 | Nathaniel J Voshel Dpm | Podiatrist | 721 3 Mile Rd Nw, Suite 100, Grand Rapids, MI 49544-8229 | 2010-05-21 |
| 1558590471 | Sandeep Kaur Bains | Podiatrist | 3355 Eagle Park Dr Ne, Suite 105, Grand Rapids, MI 49525-7004 | 2009-07-13 |
| 1467625723 | Podiatry West Senior Foot Care Services Pllc | Podiatrist | 56 Benjamin Ave Se, Grand Rapids, MI 49506-1628 | 2008-04-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on ANTHONY J KIRK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.