DR. KEVIN LEE KIRK (NPI# 1316910490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316910490 |
| Entity Type | Individual |
| Full Name | DR. KEVIN LEE KIRK |
| Credential | DO |
| Practice Address |
1200 Brooklyn Ave Suite 320 San Antonio TX 78212-4803 |
| Practice Telephone | 2108045690 |
| Practice Fax Number | 2108045693 |
| Mailing Telephone | 2108045690 |
| Mailing Fax Number | 2108045693 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2014-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | H0063452 | MD | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
N0893 | TX | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
25MB09228900 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750791182 | Kevin Kirk | Ophthalmology | 380 E 800 N, Richfield, UT 84701-1913 | 2014-05-07 |
| 1922112143 | Kevin Lucas Kirk | Dentist | 3965 Confederate Point Rd, Jacksonville, FL 32210-5401 | 2006-08-17 |
| 1609113943 | Kevin Allen Kirk | Nurse Practitioner | 800 Walnut Street, 19th Floor, Philadelphia, PA 19107 | 2013-01-07 |
| 1376503060 | Kevin P Kirk | Internal Medicine | 105 W Stone Dr, Ste 1f, Kingsport, TN 37660-3365 | 2006-03-25 |
| Street Address |
1200 BROOKLYN AVE SUITE 320 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194726448 | Daniel Dong Wook Hyun | Psychiatry & Neurology | 1200 Brooklyn Ave, Suite 230, San Antonio, TX 78212-4803 | 2005-08-09 |
| 1851848071 | Alexis Nichole Gillespie | Nurse Practitioner | 1200 Brooklyn Ave, Suite 115, San Antonio, TX 78212-4803 | 2016-09-06 |
| 1386086429 | Timothy Freeman Hunt | Physician Assistant | 1200 Brooklyn Ave, Suite 310, San Antonio, TX 78212-4803 | 2013-07-17 |
| 1841545720 | Acm Colon and Rectal Associates Pllc | Colon & Rectal Surgery | 1200 Brooklyn Ave, Suite 150, San Antonio, TX 78212-4803 | 2012-07-17 |
| 1649435850 | Ricardo Vargas | Physician Assistant | 1200 Brooklyn Ave, Suite 240, San Antonio, TX 78212-4803 | 2008-07-28 |
| 1609039049 | Mario Alberto Alcantara | Surgery | 1200 Brooklyn Ave, Suite 150, San Antonio, TX 78212 | 2008-07-07 |
| 1669634192 | Joseph A Marotta Md Pa | Internal Medicine | 1200 Brooklyn Ave, Suite 310, San Antonio, TX 78212-4803 | 2008-06-26 |
| 1902087240 | Daniel Hyun Mdpa | Psychiatry & Neurology | 1200 Brooklyn Ave, Suite 230, San Antonio, TX 78212-4803 | 2007-11-15 |
| 1144415316 | Richard A Speedlin | Family Medicine | 1200 Brooklyn Ave, Suite 130, San Antonio, TX 78212-9086 | 2007-09-11 |
| 1356550032 | Michael D Garcia, Md,p.a. | Specialist | 1200 Brooklyn Ave, Suite 365, San Antonio, TX 78212-4803 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235114927 | Darryl D Cuda | Orthopaedic Surgery | 8800 Village Dr, Suite 101, San Antonio, TX 78217-5412 | 2005-12-14 |
| 1558660050 | Darryl D, Cuda, M.d. Pa | Orthopaedic Surgery | 540 Madison Oak Dr, Suite 350, San Antonio, TX 78258-3943 | 2011-03-23 |
| 1437458429 | Darryl D. Cuda, M.d. P.a. | Orthopaedic Surgery | 8715 Village Dr, Suite 120, San Antonio, TX 78217-5405 | 2011-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730647074 | Nix Physicians Inc. | Orthopaedic Surgery | 110 E Bandera Rd, Boerne, TX 78006-2802 | 2019-03-06 |
| 1598012148 | Douglas Odin Hansen | Orthopaedic Surgery | 6699 Chimney Rock Rd Ste 102, Houston, TX 77081-5339 | 2012-08-13 |
| 1881958940 | Michael James Frazier | Orthopaedic Surgery | 12609 Louetta Rd Ste B, Cypress, TX 77429-5136 | 2012-07-03 |
| 1952344657 | Andrew Marshall Ebert | Orthopaedic Surgery | 4611 Guadalupe St Ste 200, Austin, TX 78751-2928 | 2006-06-13 |
| 1013962810 | Stacy Anne Bacon | Orthopaedic Surgery | 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 | 2006-05-23 |
| 1134189178 | Texas Tech University Health Sciences Center El Paso | Orthopaedic Surgery | 4801 Alberta Ave., 230c, El Paso, TX 79905 | 2006-03-24 |
| 1679544308 | William C Mcgarvey | Orthopaedic Surgery | 23920 Katy Freeway, Ste 160, Katy, TX 77494 | 2006-01-31 |
| 1629682919 | Central Texas Orthopaedic Foot and Ankle Center, Pllc | Orthopaedic Surgery | 5100 Franklin Ave, Waco, TX 76710-6922 | 2020-09-03 |
| 1023654258 | Chad M Kennedy Md Pa | Orthopaedic Surgery | 1600 S Coulter St Ste B, Amarillo, TX 79106-0703 | 2019-11-22 |
| 1770987422 | All Pro Rehabilitation, LLC | Orthopaedic Surgery | 4444 Heritage Trace Pkwy, Ste 404, Fort Worth, TX 76244 | 2014-10-09 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
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| 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.