BART BURDICK (NPI# 1063815546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063815546 |
| Entity Type | Individual |
| Full Name | BART BURDICK |
| Practice Address |
4334 Nw Expressway Suite 175 Oklahoma City OK 73116-1578 |
| Practice Telephone | 4055571200 |
| Practice Fax Number | 4055571977 |
| Mailing Telephone | 4055571200 |
| Mailing Fax Number | 4055571977 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
95466 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4334 NW EXPRESSWAY SUITE 175 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-1578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667703 | Lynn Sims | Counselor | 4334 Nw Expressway, Ste 266, Oklahoma City, OK 73116-1578 | 2005-05-23 |
| 1003342320 | Calm Waters Center for Children and Families | Community/Behavioral Health | 4334 Nw Expressway, Suite 101, Oklahoma City, OK 73116-1578 | 2017-05-05 |
| 1295188068 | Bright Eyes Family Services, LLC | Community/Behavioral Health | 4334 Nw Expressway, Suite 211, Oklahoma City, OK 73116-1578 | 2016-07-18 |
| 1255681839 | Julie Schroeder Wallace | Psychologist | 4334 Nw Expressway, Suite 102, Oklahoma City, OK 73116-1515 | 2012-09-11 |
| 1952679086 | Tamara Altstatt | Nurse Practitioner | 4334 Nw Expressway, Suite 175, Oklahoma City, OK 73116-1578 | 2011-12-03 |
| 1255619292 | Lacy D'ann Holderread | Nurse Practitioner | 4334 Nw Expressway, Suite 175, Oklahoma City, OK 73116-1578 | 2011-07-25 |
| 1124326517 | New Direction Home Dialysis LLC | Clinic/Center | 4334 Nw Expressway, Suite 165, Oklahoma City, OK 73116-1515 | 2011-03-08 |
| 1568766863 | Sean Kenny George | Physician Assistant | 4334 Nw Expressway, Suite 201, Oklahoma City, OK 73116-1578 | 2010-12-29 |
| 1700193562 | Providence Home Care LLC | Home Health | 4334 Nw Expressway, Suite 176, Oklahoma City, OK 73116-1578 | 2010-09-01 |
| 1326373150 | Evaughna J Johnson | Nurse Practitioner | 4334 Nw Expressway, Suite 175, Oklahoma City, OK 73116-1578 | 2009-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316504012 | Malinda Kaye Reece | Nurse Practitioner | 15909 Stoneview Dr, Oklahoma City, OK 73170-7628 | 2019-05-29 |
| 1235603606 | Lori Kimberly Scott | Nurse Practitioner | 4320 Avalon Ct, Oklahoma City, OK 73120-8175 | 2019-01-18 |
| 1285113274 | Millicent Olulade | Nurse Practitioner | 101 Park Ave Ste 1310, Oklahoma City, OK 73102-7216 | 2018-08-09 |
| 1104978360 | Maria Darlene Cordeiro | Nurse Practitioner | 10017 S Pennsylvania Ave, Oklahoma City, OK 73159-6919 | 2007-01-17 |
| 1801439823 | Joshua Seth Scott | Nurse Practitioner | 5224 E I 240 Service Rd Ste 303, Oklahoma City, OK 73135-2607 | 2019-10-22 |
| 1407416522 | Tericka Small | Nurse Practitioner | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2610 | 2019-06-20 |
| 1306233176 | Amanda Spencer | Nurse Practitioner | 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 | 2015-04-20 |
| 1962812107 | Jessica Mitchell | Nurse Practitioner | 14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 | 2014-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104610 | Progressing Forward Medical and Mental Health Services LLC | Nurse Practitioner | 9000 Nw 84th St, Yukon, OK 73099-8677 | 2020-11-07 |
| 1265031819 | Michelle Gaviola | Nurse Practitioner | 14867 Stoney Ridge Ln, Skiatook, OK 74070 | 2020-10-23 |
| 1235783325 | Julie Reid | Nurse Practitioner | 519 W South Park St, Broken Arrow, OK 74011-2435 | 2019-07-28 |
| 1093280349 | Christie Deloris Shelly | Nurse Practitioner | 1120 S Utica Ave Ste 460, Tulsa, OK 74104-4090 | 2018-10-12 |
| 1437648201 | Wendy Wilbur | Nurse Practitioner | 816 Crown Heights Ln, Purcell, OK 73080-9717 | 2018-05-07 |
| 1225542905 | Chan Vannarath | Nurse Practitioner | 13401 Three Oaks Dr, Jones, OK 73049-8539 | 2017-11-17 |
| 1053787283 | Amanda Combs | Nurse Practitioner | 202 Beam Ln, Pocola, OK 74902-2463 | 2015-08-11 |
| 1912092941 | Joretta Warren | Nurse Practitioner | 3420 South Rankin, Edmond, OK 73013 | 2006-10-04 |
| 1235223769 | Rick Dwiggins | Nurse Practitioner | 2520 South Rankin, Edmond, OK 73013 | 2006-10-02 |
| 1932139797 | Marie Helen Mason | Nurse Practitioner | 201 48th Ave Sw, Norman, OK 73072-4902 | 2006-07-04 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
Please comment or provide details below to improve the information on BART BURDICK.
| 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.