DR. STEPHEN L KIRKNER (NPI# 1922097492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922097492 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN L KIRKNER |
| Credential | D.O. |
| Practice Address |
1111 Teneyck St Suite 100 Jackson MI 49201-2461 |
| Practice Telephone | 5177878940 |
| Practice Fax Number | 5177879054 |
| Mailing Telephone | 5177878940 |
| Mailing Fax Number | 5177879054 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2010-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 5101007908 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 0453800108 | 01 |
| MI | FIRST HEALTH | 1359429 | 01 |
| MI | 3488032 | 05 | |
| MI | AETNA | 5284809 | 01 |
| MI | LICENSE NUMBER | SK007908 | 01 |
| Street Address |
1111 TENEYCK ST SUITE 100 |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-2461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922380286 | Deborah F Livingston | Audiologist | 1111 Teneyck St, Ste 200, Jackson, MI 49201-2461 | 2011-09-13 |
| 1811202948 | Said S Sana | Otolaryngology | 1111 Teneyck St, Jackson, MI 49201-2461 | 2010-08-12 |
| 1316106487 | Kim L Greenstein | Audiologist | 1111 Teneyck St, Suite 200, Jackson, MI 49201-2461 | 2008-06-04 |
| 1043396559 | Vishal Banthia | Otolaryngology | 1111 Teneyck St, Jackson, MI 49201-2461 | 2006-10-27 |
| 1689761140 | Kimberly Anne Berger | Audiologist | 1111 Teneyck St, Ste 200, Jackson, MI 49201-2461 | 2006-10-06 |
| 1922109438 | Ent Associates of Jackson, P.C. | Otolaryngology | 1111 Teneyck St, Suite 100, Jackson, MI 49201-2461 | 2006-09-26 |
| 1588610653 | Kathleen Mary Hausbeck-miller | Audiologist | 1111 Teneyck St, Suite 200, Jackson, MI 49201-2461 | 2006-05-26 |
| 1235195231 | Alison Erika Gilbert | Audiologist | 1111 Teneyck St, Suite 200, Jackson, MI 49201-2461 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1194973941 | Howard B Cheek | Otolaryngology | 4080 Boxwood Circle, Jackson, MS 39211-6609 | 2008-09-05 |
| 1881712057 | Ear Nose & Throat Surgical Group | Otolaryngology | 764 Lakeland Drive, Suite 200, Jackson, MS 39216-4617 | 2007-03-27 |
| 1811076938 | Kyle Ford Gordon | Otolaryngology | 970 Lakeland Dr Ste 40, Jackson, MS 39216-4640 | 2006-11-02 |
| 1285713305 | Andrew Byron Brown IIi | Otolaryngology | 764 Lakeland Dr Ste 200, Jackson, MS 39216-4617 | 2006-11-02 |
| 1780771956 | Tammy Sanders | Otolaryngology | 1500 E. Woodrow Wilson Ave., Jackson, MS 39216-5199 | 2006-10-06 |
| 1720070535 | West Tennessee Ent Clinic, P.a. | Otolaryngology | 619 Skyline Dr, Jackson, TN 38301-3903 | 2005-08-17 |
| 1245795400 | Dr. Patricia A Murphy Pllc | Otolaryngology | 221 Highway 15 S, Jackson, KY 41339-9600 | 2019-02-01 |
| 1336677624 | Wendy Nicole Marino | Otolaryngology | 764 Lakeland Dr, Jackson, MS 39216-4651 | 2017-05-31 |
| 1376997957 | Jaxon William Jordan | Otolaryngology | 2500 N State St, Department of Otolaryngology, Jackson, MS 39216-4500 | 2016-04-20 |
| Find all providers in JACKSON | ||||
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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.