RANDALL P. KIRBY, MD PA (NPI# 1699934018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699934018 |
| Entity Type | Organization |
| Organization Name | RANDALL P. KIRBY, MD PA |
| Practice Address |
8220 Walnut Hill Ln Suite 616 Dallas TX 75231-4427 |
| Mailing Address |
Po Box 650759 Dallas TX 75265-0759 |
| Practice Telephone | 2143455660 |
| Practice Fax Number | 2143455680 |
| Mailing Telephone | 2143455660 |
| Mailing Fax Number | 2143455680 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2014-11-07 |
| Authorized Official Name | DR. RANDALL PARKER KIRBY (PRESIDENT) |
| Authorized Official Telephone | 2143455660 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
H5716 | TX | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | H5716 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 132099607 | 05 |
| Street Address |
8220 WALNUT HILL LN SUITE 616 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-4427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279027 | North Texas Pain Management | Specialist | 8220 Walnut Hill Ln, 202 Lb#98, Dallas, TX 75231-4427 | 2005-07-19 |
| 1104340694 | Christian Timothy Le | Physician Assistant | 8220 Walnut Hill Ln, Dallas, TX 75231-4427 | 2017-07-27 |
| 1073973426 | Lema Dohmanju | Registered Nurse | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2016-02-27 |
| 1063884880 | Jordan Paul Wood | Nurse Practitioner | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2015-10-21 |
| 1023435575 | Fadi C Constantine, M.d. P.a | Plastic Surgery | 8220 Walnut Hill Ln, Suite 206, Dallas, TX 75231-4427 | 2014-03-22 |
| 1568715514 | Charity C Mugadza | Nurse Practitioner | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2012-10-16 |
| 1437405776 | Cori E. Grantham, M.d., P.a. | Specialist | 8220 Walnut Hill Ln, 310, Dallas, TX 75231-4427 | 2012-07-24 |
| 1326302233 | Dallas Comprehensive Medical Care, Pllc | Internal Medicine | 8220 Walnut Hill Ln, Suite 314, Dallas, TX 75231-4427 | 2012-06-26 |
| 1629344833 | Jeffery Keith Krueger M D P A | Surgery | 8220 Walnut Hill Ln, Ste. 206, Dallas, TX 75231-4427 | 2012-04-02 |
| 1154611044 | Irwin S. Korngut Mdpa | Internal Medicine | 8220 Walnut Hill Ln, Suite 110, Dallas, TX 75231-4427 | 2011-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1609381607 | Andy Hall | Surgery | 821 Peavy Rd, Dallas, TX 75218-2151 | 2017-12-12 |
| 1215389234 | Tayyaba Maqbool Malik | Surgery | Ut Southwestern Medical Center 5323 Blvd, Dallas, TX 75390-0001 | 2016-07-02 |
| 1629435516 | Premier Health Specialists | Surgery | 10740 N Central Expy Ste 710, #710, Dallas, TX 75231-2161 | 2016-01-22 |
| 1679948715 | Tiffany Horrigan | Surgery | 5323 Harry Hines Blvd # Mc9159, Dallas, TX 75390-7208 | 2015-12-01 |
| 1184007460 | Brandon Levy | Surgery | 2140 Medical District Dr, 2067, Dallas, TX 75235-8077 | 2015-07-03 |
| 1679951511 | Jamaal Louis Benjamin | Surgery | 751 S Cesar Chavez Blvd, Dallas, TX 75201-5821 | 2015-05-12 |
| 1114314655 | Rachel Cox | Surgery | 5323 Harry Hines Blvd Dept of Surgery, Dallas, TX 75390-7208 | 2015-04-22 |
| 1811304173 | Mirza Baig Md Pllc | Surgery | 9101 Lbj Freeway, Ste 710, Dallas, TX 75243-1912 | 2014-07-18 |
| 1861804973 | Michael Sutker, M.d., P.a. | Surgery | 7777 Forest Ln Ste A214, Dallas, TX 75230-2556 | 2014-05-22 |
| 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.