DR. SAMUEL D VAN KIRK (NPI# 1417052226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417052226 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL D VAN KIRK |
| Credential | MD |
| Practice Address |
2139 Airpark Dr Redding CA 96001-2433 |
| Mailing Address |
Po Box 496084 Redding CA 96049-6084 |
| Practice Telephone | 5302470270 |
| Practice Fax Number | 5302470271 |
| Mailing Telephone | 5302470270 |
| Mailing Fax Number | 5302470271 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2009-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0094810 | 05 |
| Street Address |
2139 AIRPARK DR |
| City | REDDING |
| State | CA |
| Zip Code | 96001-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457478307 | Brande Moffatt | Physical Therapist | 2139 Airpark Dr, Redding, CA 96001-2433 | 2007-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902352966 | Katherine Fleming | Specialist | 9 Redcoat Lane, Redding, CT 06896 | 2016-08-30 |
| 1891046140 | Jillian Brietta Jones | Specialist | 2516 Goodwater Ave, Suite B, Redding, CA 96002-1559 | 2012-09-26 |
| 1881877207 | Robert E Maurer Md Inc | Specialist | 2121 Airpark Drive, Redding, CA 96001-2433 | 2007-12-07 |
| 1164622155 | Coretta Joanna Rhoda Hamlin | Specialist | 2175 Rosaline Ave Fl 4, Cep Hospitalist Group, Redding, CA 96001 | 2007-07-19 |
| 1306044474 | Andrea Deshiell Raymer | Specialist | 2051 Hilltop Dr Ste A5, Redding, CA 96002-0265 | 2007-07-10 |
| 1912021221 | Gregory A Skipitis | Specialist | 2626 Edith Ave Ste B, Redding, CA 96001-3056 | 2007-03-19 |
| 1255420253 | Therapy Station, Inc. | Specialist | 1784 California St, Redding, CA 96001-1905 | 2006-10-11 |
| 1710087556 | Roy J Stephens Sr. | Specialist | 1655 E Cypress Ave Ste 3, Redding, CA 96002-1345 | 2006-09-22 |
| 1023113099 | Richard Mooney, Md. Inc. | Specialist | 2420 Sonoma St Ste B, Redding, CA 96001-3027 | 2006-09-14 |
| 1760499818 | Ronald Mervin Carn | Specialist | 1755 East Street, Redding, CA 96001 | 2006-08-02 |
| Find all providers in REDDING | ||||
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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.