MR. ROGER WAYNE KIRK JR. (NPI# 1790947620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790947620 |
| Entity Type | Individual |
| Full Name | MR. ROGER WAYNE KIRK JR. |
| Credential | CRNP |
| Practice Address |
1340 Highway 231 S Ste 1 Troy AL 36081-3012 |
| Mailing Address |
Po Box 312 Union Springs AL 36089-0312 |
| Practice Telephone | 3347707337 |
| Practice Fax Number | 3347707339 |
| Mailing Telephone | 3347405252 |
| Mailing Fax Number | 3347387339 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2012-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1-079245 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548647068 | Roger Kirk | Registered Nurse | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2015-05-05 |
| Street Address |
1340 HIGHWAY 231 S STE 1 |
| City | TROY |
| State | AL |
| Zip Code | 36081-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457918237 | Cherita A Garcia | Physician Assistant | 1330 Us-231, Troy, AL 36081 | 2019-05-28 |
| 1275063596 | Brooks Anthony Taylor | Pharmacist | 1420 Us 231 South, Troy, AL 36081 | 2017-06-19 |
| 1801346283 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 1147 Us Hwy 231 South, Troy, AL 36081 | 2016-10-10 |
| 1982055786 | Deandra Stewart | Chiropractor | 1340 Us-231 #3, Troy, AL 36081 | 2016-06-23 |
| 1184085953 | Emily Denise Jones | Physical Therapist | 1147 Highway 231 S Ste 9, Troy, AL 36081 | 2016-03-08 |
| 1265856769 | Mckenzie S Fallon | Counselor | 200 Cherry Street, Troy, AL 36081 | 2014-02-05 |
| 1457669871 | Troy Regional Physicians Inc | Clinic/Center | 1320 Highway 231 South, Suite 1, Troy, AL 36081 | 2010-09-20 |
| 1609199421 | Troy Health Services LLC | Obstetrics & Gynecology | 199 Scouting Circle, Troy, AL 36081 | 2010-03-08 |
| 1811134406 | Rachel Marie Green | Physical Therapist | 1118b Us Hwy 231, Troy, AL 36081 | 2009-01-19 |
| 1851541577 | Raoy D Lamb Od | Optometrist | 502 N Three Notch St, Troy, AL 36081 | 2008-09-30 |
| Find all providers in zip 36081 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035937 | Alysa Jesica Evans | Nurse Practitioner | Riverview Pediatrics, 315 2nd Ave, Troy, NY 12182 | 2020-08-31 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| 1285765875 | Shirley Maxine Saxton | Nurse Practitioner | 744 Clarendon Rd, Troy, OH 45373-1114 | 2007-03-08 |
| 1750754743 | Yusaman Shushtari Kadrich | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2015-11-12 |
| 1417217159 | Melissa Anne Gerling | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2012-05-28 |
| 1578873881 | Jennifer Catherine Mullett | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2010-10-20 |
| 1154508380 | Robert Alan Wade | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2008-01-30 |
| 1265421911 | Pamela A Altman | Nurse Practitioner | 258 Hoosick St, Suite 106, Troy, NY 12180-2427 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636038 | Samantha Thompson | Nurse Practitioner | 1600 7th Ave S Fl 2, Birmingham, AL 35233-1711 | 2020-10-14 |
| 1831722289 | Tiffany Garrett | Nurse Practitioner | 333 Whitesport Dr Sw Ste 104, Huntsville, AL 35801-3455 | 2020-02-13 |
| 1033776612 | Erin Tracy Swing | Nurse Practitioner | 1600 7th Ave S Fl Apass2, Birmingham, AL 35233-1711 | 2019-05-20 |
| 1629531181 | Holley Lewis Collins | Nurse Practitioner | 1601 Center St Ste 1a, Mobile, AL 36604-1541 | 2019-04-11 |
| 1023591245 | Katherine Leigh Cassidy | Nurse Practitioner | 2001 Fieldstown Rd, Gardendale, AL 35071-4628 | 2018-09-13 |
| 1588145544 | Allison Mcdill Williams | Nurse Practitioner | 1101 Stephen J White Memorial Boulevard, Talladega, AL 35160 | 2018-08-27 |
| 1740769801 | Amy Leigh Jenkins | Nurse Practitioner | 1600 7th Ave S Bldg Suit5604, Birmingham, AL 35233-1711 | 2018-08-09 |
| 1467931949 | Kelly M Bonnett | Nurse Practitioner | 117 N Chalkville Rd, Trussville, AL 35173 | 2018-08-07 |
| 1184102931 | Molly Dixon Bolton | Nurse Practitioner | 1600 7th Ave S Bldg Suite620, Birmingham, AL 35233-1711 | 2018-08-03 |
| 1760968580 | Gladys Cooks | Nurse Practitioner | 8517 Highlands Trce, Trussville, AL 35173-3815 | 2018-07-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. ROGER WAYNE KIRK JR..
| 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.