ANTHONY J KIRK DPM PC (NPI# 1578872438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578872438 |
| Entity Type | Organization |
| Organization Name | ANTHONY J KIRK DPM PC |
| Practice Address |
2050 Breton Rd Se Grand Rapids MI 49546-5547 |
| Practice Telephone | 6169491524 |
| Practice Fax Number | 6169499472 |
| Mailing Telephone | 6169491524 |
| Mailing Fax Number | 6169499472 |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |
| Authorized Official Name | MS. PAT GILLMAN (OFFICE MANAGER) |
| Authorized Official Telephone | 6169491524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
AK400050 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 4854111170 | 01 | |
| MI | 4355335 | 05 |
| Street Address |
2050 BRETON RD SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-5547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144330556 | Anthony J Kirk | Podiatrist | 2050 Breton Rd Se, Suite 105, Grand Rapids, MI 49546-5547 | 2006-08-30 |
| 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 |
| 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 | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245849009 | Southern Michigan Foot & Ankle, Plc | Clinic/Center | 14167 C B Macdonald Way, Vicksburg, MI 49097-8397 | 2020-07-28 |
| 1982229159 | Jeri Berkowitz Pllc | Clinic/Center | 7001 Orchard Lake Rd Ste 230b, West Bloomfield, MI 48322-3659 | 2020-06-12 |
| 1871965954 | Pardee Foot Clinic | Clinic/Center | 9029 Pardee Rd, Taylor, MI 48180-2755 | 2015-10-28 |
| 1194964452 | Stacey Stefansky Dpm Pllc | Clinic/Center | 2130 Marshall Court, Waterford, MI 48329-4069 | 2009-02-10 |
| 1386814978 | Jess Kraft Dpm PC | Clinic/Center | 27920 Arlington Dr, Southfield, MI 48076-5605 | 2008-03-10 |
| 1740341411 | Sturgis Surgicare | Clinic/Center | 102 S Lakeview Avenue, Sturgis, MI 49091 | 2006-12-13 |
| 1154391985 | Southgate Foot and Ankle Center Pllc | Clinic/Center | 14535 Northline Rd., Southgate, MI 48195-2446 | 2006-01-24 |
| 1992363097 | Matthew D Andrews Dpm PC | Clinic/Center | 1221 S Ortonville Rd Bldg B, Ortonville, MI 48462-8676 | 2019-06-03 |
| 1063077998 | Kevin Garfield Dpm PC | Clinic/Center | 1775 E 14 Mile Rd Ste 100, Birmingham, MI 48009-7204 | 2019-05-06 |
| 1467953422 | Right Step Podiatry Care Pllc | Clinic/Center | 5245 Schaefer Rd Ste D, Dearborn, MI 48126-3257 | 2018-02-26 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on ANTHONY J KIRK DPM PC.
| 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.