PROF. CHARLES RICHARD KIRK (NPI# 1639613276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639613276 |
| Entity Type | Individual |
| Full Name | PROF. CHARLES RICHARD KIRK |
| Credential | MD |
| Practice Address |
5323 Harry Hines Boulevard Dallas TX 75390-7208 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2144562533 |
| Practice Fax Number | 2144568130 |
| Mailing Telephone | (214) 456-2533 |
| Mailing Fax Number | 2144568130 |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2017-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
45647 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063820801 | Charles Kirk Sr. | Counselor | 4346 S Pinewood Dr, Muncie, IN 47302-6215 | 2014-07-24 |
| 1205104825 | Charles Edward Kirk | Community Health Worker | 9 Hillside Road, 86, Buckland, AK 99727 | 2011-12-09 |
| 1619471596 | Charles Kirk | Technician | 307 W Winnie Ln Ste 6, Carson City, NV 89703-2145 | 2018-03-23 |
| 1083115158 | Charles Kirk | Pharmacist | 39 Eisenhower Dr, Westbrook, ME 04092-2033 | 2018-02-23 |
| 1447656533 | Charles Allen Kirk | Technician, Other | 2227 W Main St Ste 3, Jacksonville, AR 72076-4251 | 2014-11-17 |
| Street Address |
5323 HARRY HINES BOULEVARD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365510 | David Edward Rogers | Obstetrics & Gynecology | 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 | 2005-06-08 |
| 1558986273 | Lauren Bell | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390-7200 | 2020-06-09 |
| 1881214070 | Rosalina Magalhaes Pereira | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-04-17 |
| 1124647367 | Emma Lucille Van Winkle | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390-9109 | 2020-04-08 |
| 1902434061 | Nicholas Cain Boswell | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-04-01 |
| 1063040566 | Jeffrey Isaac Traylor | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-03-30 |
| 1639706245 | Sarah Reddy | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-03-24 |
| 1427603273 | Molly Bryant | Nurse Practitioner | 5323 Harry Hines Boulevard, Dallas, TX 75390-9257 | 2019-08-08 |
| 1316509995 | Emily Wong | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2019-07-03 |
| 1548822463 | Neha Hanoman Rajput | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2019-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578883187 | Fetal Care Consultants, LLC. | Pediatrics | 7777 Forest Ln Ste 742, Dallas, TX 75230-2571 | 2010-06-04 |
| 1184809154 | Colin Edward Kane | Pediatrics | Division of Pediatric Cardiology, 5323 Harry Hines Blvd, Dallas, TX 75390-9063 | 2008-01-08 |
| 1881663342 | Reenu Sara Eapen Rose | Pediatrics | 411 N. Washington Ave., Suite 3300, Dallas, TX 75246-1774 | 2006-03-16 |
| 1306834023 | William Pennock Laird II | Pediatrics | 12201 Merit Dr Ste 550, Dallas, TX 75251 | 2005-10-06 |
| 1821618323 | Alyssa Power | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-1510 | 2020-04-24 |
| 1528432325 | Mohammad Tarique Hussain | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2015-11-17 |
| 1922486851 | Franz Gerald Greil | Pediatrics | 1935 Medical District Dr, B3.09, Dallas, TX 75235-7701 | 2015-05-12 |
| 1639425622 | Nathanya Baez Hernandez | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2012-07-27 |
| 1437425121 | Melinda Jean Cory | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2012-03-27 |
| 1750609533 | Pediatric Cardiology Associates of Houston LLC, William P. Laird, Mbr. | Pediatrics | 7777 Forest Ln, Suite C855, Dallas, TX 75230-2505 | 2010-05-04 |
| Find all providers in DALLAS | ||||
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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.