1477553774 NPI number — DR. HARRY B. BURKE AND ASSOCIATES, PC

Table of content: (NPI 1477553774)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477553774 NPI number — DR. HARRY B. BURKE AND ASSOCIATES, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. HARRY B. BURKE AND ASSOCIATES, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477553774
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3578 BRODHEAD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONACA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15061-3143
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-775-6168
Provider Business Mailing Address Fax Number:
724-775-2633

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3578 BRODHEAD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONACA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15061-3143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-775-6168
Provider Business Practice Location Address Fax Number:
724-775-2633
Provider Enumeration Date:
07/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
BURKE
Authorized Official First Name:
HARRY
Authorized Official Middle Name:
BRIAN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
724-775-6168

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 331692 . This is a "HIGHMARK BLUE CR/BLUE SH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000060023 . This is a "THREE RIVERS HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 115430 . This is a "HEALTH AMERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1004916 . This is a "GATEWAY HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 115429 . This is a "HEALTH ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 954122 . This is a "AETNA INSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: CG3284 . This is a "RR MEDICARE-UNITED HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0000003334 . This is a "UPMC HEALTH PLANS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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