JAE LYN BURKE (NPI# 1194808998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194808998 |
| Entity Type | Individual |
| Full Name | JAE LYN BURKE |
| Credential | PA-C |
| Practice Address |
66 Park Street Elizabethtown NY 12932 |
| Mailing Address |
66 Park Street Po Box 277 Elizabethtown NY 12932 |
| Practice Telephone | 5188736896 |
| Mailing Telephone | 5188736896 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001251 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | TAX ID | 141364513 | 01 |
| Street Address |
66 PARK STREET |
| City | ELIZABETHTOWN |
| State | NY |
| Zip Code | 12932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801235288 | Vanessa Desmarais | Family Medicine | 66 Park Street, Elizabethtrown Health Center, Elizabethtown, NY 12932-0277 | 2013-06-19 |
| 1114208105 | Michael J Richards | Physical Therapist | 66 Park Street, Elizabethtown, NY 12932 | 2011-09-02 |
| 1184933475 | Elizabethtown Community Hospital | General Acute Care Hospital | 66 Park Street, Suite 100, Elizabethtown, NY 12832-0000 | 2010-10-04 |
| 1710291356 | Kevin Robert Bouchard-hall | Physical Therapist | 66 Park Street, Suite 100, Elizabethtown, NY 12932-0000 | 2010-08-05 |
| 1851605505 | Kristen Alana Resto | Physical Therapist | 66 Park Street, Elizabethtown, NY 12932 | 2010-08-04 |
| 1396989059 | Mary Katharine Halloran | Family Medicine | 66 Park Street, Elizabethtown, NY 12932 | 2009-04-26 |
| 1316090657 | Mary Buehler-brandt | Physician Assistant | 66 Park Street, Elizabethtown, NY 12932 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052823 | Mary Elizabeth Durgan | Case Manager/Care Coordinator | Essex County Health Department, Childrens Service Unit 132 Water Street, Elizabethtown, NY 12932 | 2020-04-23 |
| 1588176903 | Windhorse Acupuncture | Acupuncturist | 107 Hand Ave, Suite 4b, Elizabethtown, NY 12932 | 2017-10-25 |
| 1932442134 | Korin Susan Burdo | Registered Nurse | 93 Water St, Elizabethtown, NY 12932 | 2013-04-05 |
| 1144545161 | Leanna Loye Deneale | Pharmacist | 7567 Court Street, Elizabethtown, NY 12932 | 2010-04-01 |
| 1184862112 | Essex County Transportation | Transportation Broker | 7551 Court St, Elizabethtown, NY 12932 | 2009-01-29 |
| 1174700363 | Annie Gronningsater Mckinley | Counselor | 7513 Court St, Elizabethtown, NY 12932 | 2008-01-30 |
| 1457535692 | Michael Morris | Pharmacist | 7550 Court Street, Elizabethtown, NY 12932 | 2007-12-24 |
| 1811190663 | Families First In Essex | Case Management | 196 Water Street, Elizabethtown, NY 12932 | 2007-06-08 |
| 1750500476 | Kristina Jennifer Pierson | Counselor | 7513 Court St., Elizabethtown, NY 12932 | 2007-04-24 |
| 1518018019 | Phyllis Ann Perna | Psychologist | 107 Hand Avenue, Elizabethtown, NY 12932 | 2007-01-13 |
| Find all providers in zip 12932 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326106873 | Jacquelynn Anne Liddington | Physician Assistant | 1239 Woodland Dr Ste 105, Elizabethtown, KY 42701-2770 | 2006-12-05 |
| 1215003264 | Beth Etta Morrow | Physician Assistant | 1321 Ring Rd Ste 105, Elizabethtown, KY 42701-8940 | 2006-11-28 |
| 1841283041 | Tiffany Shea Robinson | Physician Assistant | 1311 Ring Rd Ste 103, Elizabethtown, KY 42701-8941 | 2005-08-24 |
| 1881119873 | Trelena Christeen Brown | Physician Assistant | 300a E Mckay St, Elizabethtown, NC 28337 | 2017-08-10 |
| 1629461751 | Central Medical Associates Pllc | Physician Assistant | 1311 Ring Rd Ste 103, Elizabethtown, KY 42701 | 2015-03-13 |
| 1568886711 | Hannah M Wilson | Physician Assistant | 418 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2014-02-08 |
| 1144518028 | Meghann Wenger | Physician Assistant | 418 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2011-07-13 |
| 1932492733 | James Moss Pllc | Physician Assistant | 1105 Julianna Ct, Suite 1, Elizabethtown, KY 42701-7937 | 2011-05-26 |
| 1194908376 | Briana Gayle Graham | Physician Assistant | 300 E Mckay St, Elizabethtown, NC 28337-9037 | 2007-12-11 |
| 1871710020 | Robert Alan Andrews | Physician Assistant | 75 Park St, Elizabethtown Community Hospital, Elizabethtown, NY 12932 | 2007-04-19 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 12932 |
Please comment or provide details below to improve the information on JAE LYN BURKE.
| 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.