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MR. KIRK MACDONALD SMITH MS, FNP
NPI 1811994254
Nurse Practitioner - Family in Medford, OR

Active since June 30, 2005
19 MYRTLE ST, MEDFORD, OR 97504(541) 773-3863(541) 618-4413 Get Directions Write a Review

NPPES record last updated: September 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kirk Macdonald Smith Ms, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KIRK MACDONALD SMITH MS, FNP (NPI 1811994254) is an individual family provider in Medford, Oregon, licensed in Oregon (200150032) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1811994254
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. KIRK MACDONALD SMITHCredential: MS, FNP
Location Address19 MYRTLE STMedford, OR 97504-7337
Mailing Address19 Myrtle StMedford, OR 97504-7337 · (541) 773-3863 · Fax (541) 618-4413
Phone(541) 773-3863
Fax(541) 618-4413
Sole ProprietorNo
Enumeration DateJune 30, 2005
Last NPPES UpdateSeptember 9, 2011
✔ NPI 1811994254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 200150032
19 MYRTLE ST, Medford, OR 97504
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Other Identifiers 3

Medicaid227698OR
Medicare UPINP56774OR
Medicare ID-Type Unspecified109675OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA CORTEZ CPHT
Interpreter
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 842-7747
PHYLLIS T. DUNCKEL MD
Family Medicine
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
TINA JENNINGS OKENFUSS LPC
Counselor (Mental Health)
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
DANA NOELLE BROOKS MA, MFT
Marriage & Family Therapist
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
DR. PAUL D. MATZ MD
Family Medicine
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
DARCIE KATHLEEN STERNENBERG MD
Internal Medicine (Nephrology)
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
DR. KRISTI NOEL HENNAN M.D.
Family Medicine
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
SUSAN KATHERINE MACKINNON M.D.
Internal Medicine
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirk Smith's NPI number?

The NPI number for Kirk Smith is 1811994254. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Kirk Smith located?

Kirk Smith practices at 19 Myrtle St, Medford, OR 97504. The listed phone number is (541) 773-3863.

What is Kirk Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kirk Smith was last updated on September 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.