BURKHART PEDIATRIC & ADOLESCENT DERMATOLOGY PLLC (NPI# 1073155032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073155032 |
Entity Type | Organization |
Organization Name | BURKHART PEDIATRIC & ADOLESCENT DERMATOLOGY PLLC |
Practice Address |
135 Parkway Office Ct Ste 201 Cary NC 27518-7425 |
Practice Telephone | 9194761118 |
Practice Fax Number | 8558786037 |
Mailing Telephone | 9194761118 |
Mailing Fax Number | 8558786037 |
Enumeration Date | 2019-10-11 |
Last Update Date | 2020-06-12 |
Authorized Official Name | CRAIG BURKHART (OWNER) |
Authorized Official Telephone | 9197242365 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
Allopathic & Osteopathic Physicians |
Street Address |
135 PARKWAY OFFICE CT STE 201 |
City | CARY |
State | NC |
Zip Code | 27518-7425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962624478 | Craig Burkhart | Dermatology | 135 Parkway Office Ct Ste 201, Cary, NC 27518-7425 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
Find all providers in zip 27518 |
Taxonomy Code | 207NP0225X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Pediatric Dermatology |
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417295940 | Private Diagnostic Clinic, Pllc | Dermatology | 5324 Mcfarland Rd, Ste. 410, Durham, NC 27707-6865 | 2013-01-17 |
1558452532 | Kathleen F Russo | Dermatology | 129 Woodson St, Salisbury, NC 28144-3255 | 2006-09-27 |
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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.