JOSEPH CLARY KIRKPATRICK, DO — NPI 1164658118 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1164658118

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208D00000X (CMS 01)

Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice

Box 32 Service Location & ZIP+4

RR 103 SUPPLY STREET, GARY, WV, 24836-0507

✓ 9-Digit EDI 837 ZIP+4 (24836-0507)

Practice Phone & Referral Fax

(304) 448-2101

Fax: (304) 448-3217

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164658118 (JOSEPH CLARY KIRKPATRICK, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1164658118` (NPI-1 Individual Practitioner)
Provider / Legal Name	JOSEPH CLARY KIRKPATRICK, DO
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice NUCC Code: `208D00000X` (General Practice)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	RR 103 SUPPLY STREET, GARY, WV, 24836-0507
Practice Telephone / Fax	Tel: (304) 448-2101 \| Fax: (304) 448-3217
Administrative Mailing Address	PO BOX 507, GARY, WV, 24836-0507
Enumeration & Last Sync	Enumerated: 2009-06-04 \| CMS Record Updated: 2021-01-22

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

RR 103 SUPPLY STREET, GARY, WV, 24836-0507

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Plain-English Taxonomy & CMS Crosswalk (208D00000X)

What Does Taxonomy Code 208D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208D00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 01 (Physician/General Practice) • CMS Code 99 (Physician/Undefined Physician type[6])
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified General Practice for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JOSEPH CLARY KIRKPATRICK, DO)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207QA0401X` — Family Medicine, Addiction Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: VA \| License: `0102206396` \| Primary: Secondary
`208D00000X` — General Practice Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice	State: VA \| License: `0102206396` \| Primary: Secondary
`208D00000X` — General Practice Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice	State: WV \| License: `2675` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JOSEPH CLARY KIRKPATRICK, DO (NPI #1164658118)