DONALD R. KIRKS (NPI# 1144400391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144400391 |
| Entity Type | Individual |
| Full Name | DONALD R. KIRKS |
| Credential | M.D. |
| Practice Address |
530 S Jackson St Suite C07 Louisville KY 40202-1675 |
| Mailing Address |
Po Box 21249 Louisville KY 40221-0249 |
| Practice Telephone | 5028525875 |
| Practice Fax Number | 5028521754 |
| Mailing Telephone | 5028525875 |
| Mailing Fax Number | 5028521754 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2015-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
40640 | KY | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
40640 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | HUMANA- KENTUCKY CHILDREN'S RADIOLOGISTS | 000023036G | 01 |
| KY | 64786999 | 05 | |
| KY | PASSPORT- KENTUCKY CHILDREN'S RADIOLOGISTS | 50023655 | 01 |
| IN | 200961180 | 05 | |
| KY | ADVANTRA FREEDOM- KENTUCKY CHILDREN'S RADIOLOGISTS | 00533151 | 01 |
| KY | MANAGE HEALTH SERVICES- KENTUCKY CHILDREN'S RADIOLOGISTS | 200961180 | 01 |
| KY | PASSPORT ADVANTAGE- KENTUCKY CHILDREN'S RADIOLOGISTS | 3710545000 | 01 |
| KY | MD WISE- KENTUCKY CHILDREN'S RADIOLOGISTS | 200961180 | 01 |
| KY | SIHO- KENTUCKY CHILDREN'S RADIOLOGISTS | 104202 | 01 |
| KY | ANTHEM INDIANA MEDICAID- KENTUCKY CHILDREN'S RADIOLOGISTS | 200961180 | 01 |
| TX | LICENSE | D5423 | 01 |
| KY | ANTHEM- KENTUCKY CHILDREN'S RADIOLOGISTS | 000000613677 | 01 |
| KY | HEALTHY INDIANA PLAN- KENTUCKY CHILDREN'S RADIOLOGISTS | 200961180 | 01 |
| Street Address |
530 S JACKSON ST SUITE C07 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264062 | Magdy A Abaskaron | Radiology | 530 S Jackson St, # C07, Louisville, KY 40202-1675 | 2005-06-13 |
| 1609476787 | Jessica Fuyumi Burns | Registered Nurse | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-28 |
| 1881292548 | Elizabeth Ann Blandford | Nurse Practitioner | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-15 |
| 1487252466 | Corey Dale Vogt | Physical Therapist | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-13 |
| 1265046627 | Miranda Renea Pierce | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-09-03 |
| 1568080679 | Thomas Matthew Sturgis | Physical Therapist | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-07-07 |
| 1356965701 | Casey Marie Sullivan | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-06-02 |
| 1255951083 | Teresa S Meurer | Registered Nurse | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-22 |
| 1063032001 | Michael Dale Lance II | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-20 |
| 1700405164 | Sayed Eyedn Khosrowshahi | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841558210 | Brittany K Albers | Radiology | 231 E Chestnut St, Louisville, KY 40202-1821 | 2012-04-24 |
| 1619110681 | Kingal Virshni | Radiology | 231 E Chestnut St, Department of Radiology, Louisville, KY 40202-1821 | 2009-04-07 |
| 1184880213 | Guna B. Thapa | Radiology | 231 E Chestnut St, Louisville, KY 40202-1821 | 2008-07-29 |
| 1962666594 | Rajaneeshankar Palani | Radiology | 231 E Chestnut St, Radiology Dept, Louisville, KY 40202-1821 | 2008-07-13 |
| 1295925071 | Philip B Dydynski | Radiology | 231 E Chestnut St, Louisville, KY 40202-1821 | 2007-07-27 |
| 1336286616 | Lincoln O. Diniz | Radiology | 231 E Chestnut St, Louisville, KY 40202-1821 | 2007-01-30 |
| 1922182013 | Richard Fellows | Radiology | 231 E Chestnut St, Louisville, KY 40202-1821 | 2006-10-25 |
| 1699863142 | Karen K Moeller | Radiology | 231 E Chestnut St, Louisville, KY 40202-1821 | 2006-10-10 |
| 1053409508 | Marilee Benson | Radiology | 231 E Chestnut St, Louisville, KY 40202-1821 | 2006-10-10 |
| 1225138092 | Pediatric Radiology Associates, Psc | Radiology | 231 E Chestnut St, Louisville, KY 40202-1821 | 2006-09-22 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.