DR. CHARLES A KIRBY (NPI# 1740282755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740282755 |
| Entity Type | Individual |
| Full Name | DR. CHARLES A KIRBY |
| Credential | MD |
| Practice Address |
5715 Cornelison Rd 6600 Bldg Chattanooga TN 37411-5661 |
| Practice Telephone | 4238923937 |
| Practice Fax Number | 4238925443 |
| Mailing Telephone | 4238923937 |
| Mailing Fax Number | 4238925443 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2019-05-14 |
| NPI Deactivation Date | 03/23/2006 |
| NPI Reactivation Date | 2006-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD0000011473 | TN | Other Service Providers |
| Y | 207W00000X | Ophthalmology | MD00000011473 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3191743 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316201825 | Charles Edward Kirby | Dentist | 1875 Old Alabama Rd Ste 130, Roswell, GA 30076-2262 | 2012-06-28 |
| 1306094297 | Charles F. Kirby IIi | Social Worker | 30 Hazel Ter Ste 11, Woodbridge, CT 06525-2240 | 2008-09-04 |
| 1053308783 | Charles Gentry Kirby | Ophthalmology | 70 Westcare Dr, Ste 403, Sylva, NC 28779-5292 | 2005-09-27 |
| Street Address |
5715 CORNELISON RD 6600 BLDG |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37411-5661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619397635 | Robert Evan Levy | Ophthalmology | 5715 Cornelison Rd, Chattanooga, TN 37411-5661 | 2014-04-17 |
| 1265622450 | Chattanooga Eye Institute,p.c. | Ophthalmology | 5715 Cornelison Rd, 6600 Bldg, Chattanooga, TN 37411-5661 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
| 1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
| 1568986693 | Solution Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 4707 North Terrace, Chattanooga, TN 37411 | 2017-07-31 |
| 1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
| 1669896254 | Audra Valentaviciene | Nurse Practitioner | 5618 Brainerd Road, Chattanooga, TN 37411 | 2014-02-18 |
| 1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
| 1417210071 | Jason Owen Blair | Physical Therapy Assistant | 5779 Brainard Rd, Chattanooga, TN 37411 | 2012-06-19 |
| 1447532270 | Masons and Daughter LLC | Non-emergency Medical Transport (VAN) | 7 North Tuxedo Ave, Chattanooga, TN 37411 | 2011-09-19 |
| 1841500386 | Pamela Denise Stultz | Physical Therapy Assistant | 3207 Rosemont Drive, Chattanooga, TN 37411 | 2010-10-18 |
| 1689803843 | Pauline Evans | Occupational Therapy Assistant | 1557 Pin Oak Dr, Chattanooga, TN 37411 | 2009-07-09 |
| Find all providers in zip 37411 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457748501 | Jon Caleb Hildebrand | Ophthalmology | 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 | 2015-04-15 |
| 1952646176 | Harvey A Jacobs | Ophthalmology | 608 Swansons Ridge Rd, Chattanooga, TN 37421-4500 | 2012-11-28 |
| 1265798839 | Alliance Eye Care Pllc | Ophthalmology | 7405 Shallowford Rd Ste 420, Chattanooga, TN 37421-2662 | 2012-04-07 |
| 1942315866 | Pe Than Tin Md PC | Ophthalmology | 930 Oak St, Chattanooga, TN 37403-2410 | 2006-08-20 |
| 1538187224 | Caroline K. Elias | Ophthalmology | 3898 Hixson Pike, Chattanooga, TN 37415-3562 | 2006-07-18 |
| 1659319010 | Paula Christine Nicola | Ophthalmology | 979 E 3rd St Ste 240, Chattanooga, TN 37403-2136 | 2006-06-04 |
| 1912968371 | Dennis C. Matzkin | Ophthalmology | 7405 Shallowford Road, Suite 400, Chattanooga, TN 37421 | 2006-03-28 |
| 1346228426 | Courtney Webb Ridner | Ophthalmology | 1815 Gunbarrel Rd, Chattanooga, TN 37421-3130 | 2006-01-09 |
| 1841288131 | David L. Friedrich | Ophthalmology | 2120 Northgate Park Lane, Suite 102, Chattanooga, TN 37415-6937 | 2005-10-11 |
| 1992702021 | Elizabeth D Mabry | Ophthalmology | 1210 Premier Dr Ste 110, The Pointe, Chattanooga, TN 37421-3747 | 2005-07-05 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37411 |
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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.