Provider Demographics
NPI:1639101801
Name:KIRBY, JAMES EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:KIRBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-3040
Mailing Address - Fax:717-812-3049
Practice Address - Street 1:2339 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5009
Practice Address - Country:US
Practice Address - Phone:717-812-3040
Practice Address - Fax:717-812-3049
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019229E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA32664OtherJOHNS HOPKINS
PA01130401OtherCAPITAL BLUE CROSS-WMG
PA251626OtherMAMSI-WMG
PAP002856OtherGATEWAY-WMG
PA055576OtherHIGHMARK BLUE SHIELD
PA20011323OtherAH MERCY-WMG RED LION
PA4257045OtherAETNA
PA1142420OtherAH MERCY-WMG RATHTON RD
MD328085OtherCAREFIRST MD BCBS
PA80899OtherUNISON-WMG
PA000658907Medicaid
PA42933OtherGEISINGER
PA01130401OtherCAPITAL BLUE CROSS-WMG
PAP002856OtherGATEWAY-WMG