DR. JESSE BRIAN BURKS


Address: 5 Saint Vincent Cir, Suite 410, Little Rock, AR 72205-5412
Phone: 5016636455

DR. JESSE BRIAN BURKS (NPI# 1164492989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164492989
Entity Type Individual
Full Name DR. JESSE BRIAN BURKS
Credential DPM
Practice Address 5 Saint Vincent Cir
Suite 410
Little Rock
AR 72205-5412
Mailing Address 5 Saint Vincent Cir
Suite 100
Little Rock
AR 72205-5412
Practice Telephone 5016636455
Practice Fax Number 5016634877
Mailing Telephone 5016636455
Mailing Fax Number 5016634877
Enumeration Date 2006-01-24
Last Update Date 2009-07-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 184 AR Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR BLUE CROSS SHIELD 5U345 01
AR BCBS FEP 5U345 01
AR 137319717 05
AR HEALTH ADVANTAGE 5U345 01
AR FIRST SOURCE PPO 5U345 01
AR BLUE ADVANTAGE 5U345 01

Office Location

Street Address 5 SAINT VINCENT CIR
SUITE 410
City LITTLE ROCK
State AR
Zip Code 72205-5412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871585752 Larry L Nguyen Orthopaedic Surgery 5 Saint Vincent Cir, Suite 100, Little Rock, AR 72205-5412 2005-08-17
1063050573 Mgh Surgicalist Pllc Surgery 5 Saint Vincent Cir, Little Rock, AR 72205-5412 2019-12-16
1376903823 Shannon Diane Hoey Nurse Practitioner 5 Saint Vincent Cir, Suite 501, Little Rock, AR 72205-5412 2016-02-26
1467832170 Keith Sholes Pharmacist 5 Saint Vincent Cir, Little Rock, AR 72205-5412 2015-06-08
1407249311 Tiffanie Boyce Physician Assistant 5 Saint Vincent Cir, Ste 100, Little Rock, AR 72205-5415 2015-03-17
1629470521 Little Rock Neurosurgery Clinic Nurse Practitioner 5 Saint Vincent Cir, Suite 502, Little Rock, AR 72205-5412 2014-09-23
1932448792 Arkansas Ophthalmology Associates, P.a. Ophthalmology 5 Saint Vincent Cir, Suite 200, Little Rock, AR 72205-5412 2013-02-13
1003170085 Justin Scott Shipp Specialist/Technologist 5 Saint Vincent Cir, Little Rock, AR 72205-5412 2012-06-25
1003105289 Jennifer Ann Minneman Surgery 5 Saint Vincent Cir, Little Rock, AR 72205-5412 2011-03-29
1346551314 Thurston Matthew Bauer Thoracic Surgery (Cardiothoracic Vascular Surgery) 5 Saint Vincent Cir, Suite 501, Little Rock, AR 72205-5412 2010-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932719465 Darleisha Renee Stigall Behavior Technician 1210 Aldersdate Rd, Little Rock, AR 72205 2020-08-10
1316563638 Unknown Amisha Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 2020-06-23
1225667272 Ann-marie Frances Hayre Student in an Organized Health Care Education/Training Program 4310 West Markham, Slot 589, Little Rock, AR 72205 2020-04-02
1952930075 Alexandria Leigh Smith Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot 531, Little Rock, AR 72205 2020-04-02
1093353922 Phil Fagala Pharmacist 614 North Beechwood, Little Rock, AR 72205 2019-12-10
1295391688 Home To Community Living, Inc Physical Therapist 10201 W Markham Street Pulaski, Little Rock, AR 72205 2019-05-12
1669933693 Sandy Louise Webb Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 530, Little Rock, AR 72205 2019-03-31
1457812828 Vincent Battafarano Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 602, Little Rock, AR 72205 2019-03-28
1063978922 Franks Pediatric Occupational Therapy LLC Occupational Therapist 5516 C St, Little Rock, AR 72205 2019-02-15
1497210199 Integrative Counseling Center LLC Counselor 10515 W Markham St Ste D3, Little Rock, AR 72205 2019-02-06
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457731804 Tait Podiatry, LLC Podiatrist 2 Margeaux Ct, Little Rock, AR 72223-9193 2015-06-01
1609123223 Supply and General Equipment, Inc. Podiatrist 13310 Kanis Road, Little Rock, AR 72211-4008 2012-08-14
1962616227 Laurence Connelley Podiatrist 10020 W Markham St, Little Rock, AR 72205-2130 2007-05-09
1437113727 Terri R Cohen Podiatrist 424 N University Ave, Little Rock, AR 72205 2006-04-13
1285696070 Calvin P. Britton IIi Podiatrist 10018 W Markham, Little Rock, AR 72205-2130 2006-04-05
1609846427 Alexandra N Buk Podiatrist 4200 N Rodney Parham Rd Ste 100, Little Rock, AR 72212-2458 2006-01-24
1023538568 Megan Lynn Herring Podiatrist 4200 N Rodney Parham Rd Ste 100, Little Rock, AR 72212-2458 2017-06-26
1184793259 Anika T Whitfield Podiatrist 500 South University, Suite 707, Little Rock, AR 72205 2006-11-06
1851471312 University of Arkansas for Medical Sciences Podiatrist 4301 W Markham St # 783, Little Rock, AR 72205 2006-10-17
1285746529 Little Rock Foot Clinic, Pa Podiatrist 424 N University Ave, Little Rock, AR 72205-3109 2006-08-31
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Competitor

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City LITTLE ROCK
Zip Code 72205

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Dataset Information

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.

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