KIRK FAMILY PRACTICE, LLC (NPI# 1548485931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548485931 |
| Entity Type | Organization |
| Organization Name | KIRK FAMILY PRACTICE, LLC |
| Practice Address |
100 S Main Street Suite 205 Smyrna DE 19977-1433 |
| Practice Telephone | 3026536022 |
| Practice Fax Number | 3023891094 |
| Mailing Telephone | 3026536022 |
| Mailing Fax Number | 3023891094 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBORAH KIRK (OWNER) |
| Authorized Official Telephone | 3026536022 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | CIGNA | 6561586 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497838999 | Kirk Family Practice, LLC | Family Medicine | 100 South Main Street, Suite 200, Smyrna, DE 19977 | 2006-10-20 |
| Street Address |
100 S MAIN STREET SUITE 205 |
| City | SMYRNA |
| State | DE |
| Zip Code | 19977-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195857 | Nicola Dwyer | Licensed Practical Nurse | 121 Balamor Ct, Smyrna, DE 19977 | 2019-10-17 |
| 1487202982 | Steps 2 Wellness, LLC | Nurse Practitioner | 229 N Main Street, Smyrna, DE 19977 | 2019-08-28 |
| 1609423813 | Nu Beginning Center, LLC | Community/Behavioral Health | 229 North Main Street, Smyrna, DE 19977 | 2019-08-22 |
| 1467959593 | Cimi Behavior Analytic Solutions | Behavioral Analyst | 329 Garrisons Lake Blvd, Smyrna, DE 19977 | 2018-04-05 |
| 1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
| 1912352782 | Elizabeth Soleh Kerkula | Registered Nurse | 611 Providence Drive, Smyrna, DE 19977 | 2016-04-29 |
| 1780075218 | Life Force Caregivers, Inc. | Custodial Care Facility | 127 E. Glenwood Ave., Smyrna, DE 19977 | 2015-02-05 |
| 1164826707 | Naomi Ruth Thomas | Registered Nurse | 654 Brenford Station Road, Smyrna, DE 19977 | 2014-10-10 |
| 1104164524 | Christianacare Health Systems | Clinic/Center | 100 Sunnyside Rd 3rd Floor Prickett South, Smyrna, DE 19977 | 2013-01-18 |
| 1891056529 | Alex Bongon Siapno | Physical Therapist | 3034 S Dupont Blvd., Smyrna, DE 19977 | 2012-05-29 |
| Find all providers in zip 19977 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902303514 | Amanda Cunningham | Family Medicine | 741 President Pl Ste 200, Smyrna, TN 37167-6809 | 2018-04-10 |
| 1356607790 | Reena Vanmali | Family Medicine | 1060 Windy Hill Rd Se, Smyrna, GA 30080-2063 | 2012-04-10 |
| 1720368814 | Rophe Medics Clinic | Family Medicine | 3001 South Cobb Drive, Siute 205, Smyrna, GA 30080 | 2011-08-22 |
| 1982994216 | Alexys R. Daut | Family Medicine | 401 N Carter Rd Ste 201, Smyrna, DE 19977-1213 | 2011-04-07 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1306166178 | Olujimi Idowu Oluwole | Family Medicine | 505 Leighton Woods Ct, Smyrna, GA 30080-5534 | 2010-06-03 |
| 1114161452 | Delcare Medical LLC | Family Medicine | 319 N Carter Rd, Smyrna, DE 19977-1282 | 2009-04-30 |
| 1306084835 | Catalyst Diagnostics, LLC | Family Medicine | 1247 Falling Water Dr Se, Smyrna, GA 30080-2651 | 2009-01-21 |
| 1366601676 | Ronald Wood | Family Medicine | 430 Fletcher Dr, Smyrna, DE 19977-2818 | 2008-06-03 |
| 1811177215 | Dhar Family Medicine, Pllc | Family Medicine | 1702 Rock Springs Rd, Smyrna, TN 37167-6174 | 2007-11-14 |
| Find all providers in SMYRNA | ||||
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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.