DR. JEFFREY SHEPARD KIRK (NPI# 1740449891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740449891 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY SHEPARD KIRK |
| Credential | MD |
| Practice Address |
2770 Capital Medical Blvd Suite 200 Tallahassee FL 32308-8417 |
| Practice Telephone | 8504020202 |
| Practice Fax Number | 8504020226 |
| Mailing Telephone | 8504020202 |
| Mailing Fax Number | 8504020226 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2016-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015642000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134386436 | Jeffrey Stephen Kirk | Dentist | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2008-05-22 |
| Street Address |
2770 CAPITAL MEDICAL BLVD SUITE 200 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-8417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920261 | Richard Randall Thacker | Internal Medicine | 2770 Capital Medical Blvd, Ste 200, Tallahassee, FL 32308-8417 | 2005-05-23 |
| 1760880082 | Paul Modafferi | Nurse Practitioner | 2770 Capital Medical Blvd, Tallahassee, FL 32308-8417 | 2014-12-18 |
| 1790181550 | Capital Regional Medical Group | Preferred Provider Organization | 2770 Capital Medical Blvd, Suite 200, Tallahassee, FL 32308-8417 | 2014-11-06 |
| 1831520063 | Molly Seal | Nurse Practitioner | 2770 Capital Medical Blvd, Suite 200, Tallahassee, FL 32308-8417 | 2013-12-13 |
| 1063758944 | Jennifer Russell | Nurse Practitioner | 2770 Capital Medical Blvd, Suite 200, Tallahassee, FL 32308-8417 | 2012-12-20 |
| 1023222361 | Grant Center Hospital of Ocala Inc | Internal Medicine | 2770 Capital Medical Blvd, Suite 200, Tallahassee, FL 32308-8417 | 2007-05-09 |
| 1619030558 | Stephanie Lee | Obstetrics & Gynecology | 2770 Capital Medical Blvd, Suite 110, Tallahassee, FL 32308-8417 | 2006-12-19 |
| 1336201771 | Sean F Fitzgerald | Surgery | 2770 Capital Medical Blvd, Suite 200 Capital Regional Spine Center, Tallahassee, FL 32308-8417 | 2006-12-14 |
| 1184724239 | Pain Institute of North Florida Pa | Pain Medicine | 2770 Capital Medical Blvd, Suite 100, Tallahassee, FL 32308-8417 | 2006-09-25 |
| 1750480380 | Tallahassee Gyn-oncology LLC | Obstetrics & Gynecology | 2770 Capital Medical Blvd, Suite 210, Tallahassee, FL 32308-8417 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| 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 |
|---|---|---|---|---|
| 1356753552 | Lattisha Chambers | Specialist | 3125 Sawtooth Dr, Tallahassee, FL 32303-7377 | 2014-05-22 |
| 1972885069 | Mary Geralyn Schaad | Specialist | 1118 Thomasville Rd Ste C, Tallahassee, FL 32303-6282 | 2011-09-14 |
| 1861790875 | Spurgeon Walter Mcwilliams, M.d. P.a. | Specialist | 1620 Riggins Rd, Tallahassee, FL 32308-5316 | 2011-03-01 |
| 1720242134 | Kathleen Knox Yale | Specialist | 4905 Lester Rd, Tallahassee, FL 32317-7129 | 2008-07-15 |
| 1073775847 | Brett A Pace | Specialist | 224 Lafayette Cir, Tallahassee, FL 32303-6216 | 2008-07-02 |
| 1467614511 | Bridget Kellie Burke-wammack | Specialist | 1235 Conservancy Dr E, Tallahassee, FL 32312-6744 | 2008-06-30 |
| 1568640977 | Loriane Robin Geist | Specialist | 304 N Meridian St, Suite 2, Tallahassee, FL 32301-7634 | 2008-02-07 |
| 1538341672 | Jason Barry Owens | Specialist | 226 W 8th Ave, Tallahassee, FL 32303-5505 | 2007-11-30 |
| 1528257482 | Valerie Ayla Fox | Specialist | 1304 E 6th Ave, Suite 5, Tallahassee, FL 32303-6506 | 2007-10-17 |
| 1053502070 | Barbara H Riche' | Specialist | 228 Lafayette Cir, Tallahassee, FL 32303-6216 | 2007-08-06 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on DR. JEFFREY SHEPARD KIRK.
| 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.