THEODORE J BURKE (NPI# 1346384211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346384211 |
| Entity Type | Individual |
| Full Name | THEODORE J BURKE |
| Credential | M.D. |
| Practice Address |
310 15th Ave E Seattle WA 98112-5103 |
| Mailing Address |
2921 Naches Ave Sw Renton WA 98057-2617 |
| Practice Telephone | 2063263000 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2019-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD00046192 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8464331 | 05 |
| Street Address |
310 15TH AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676122 | Charlie Browne | Specialist | 310 15th Ave E, Cnb-2, Seattle, WA 98112-5103 | 2005-08-22 |
| 1669096350 | Mikaela Rachel Harf | Social Worker | 310 15th Ave E, Seattle, WA 98112-5103 | 2020-05-29 |
| 1407390099 | Ashley Harlan | Registered Nurse | 310 15th Ave E, Seattle, WA 98112-5103 | 2016-12-15 |
| 1265841159 | Candace Mabbitt | Advanced Practice Midwife | 310 15th Ave E, Seattle, WA 98112-5103 | 2014-08-05 |
| 1245658343 | Adriana Piazza | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2014-04-04 |
| 1043563034 | Serena Sherrill | Social Worker | 310 15th Ave E, Seattle, WA 98112-5103 | 2012-10-16 |
| 1801187885 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 310 15th Ave E, Seattle, WA 98112-5103 | 2011-04-26 |
| 1427348887 | Kyunghee Kim | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2011-04-19 |
| 1982919437 | Geetha Narayani Fink | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2010-08-09 |
| 1518196500 | Andrew E Warner | Obstetrics & Gynecology | 310 15th Ave E, Group Health, Capitol Hill North Building, Seattle, WA 98112-5103 | 2009-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316367857 | Paul Dennis Simonson | Pathology | Uwmc Anatomic Pathology, 1959 Ne Pacific, Box 356100, Seattle, WA 98195-0001 | 2014-04-23 |
| 1629413109 | Paula Marie Jenkins Colon | Pathology | Uw Medicine Pathology 1959 Ne Pacific St, Box 357470, Seattle, WA 98195-0001 | 2013-05-09 |
| 1104167550 | Pakc-dsl Inc Ps | Pathology | 550 17th Ave., Ste. 300, Seattle, WA 98122 | 2013-03-11 |
| 1801190186 | Malcolm Scott Stirton | Pathology | 6347 Beach Dr Sw, Seattle, WA 98136-1351 | 2010-12-31 |
| 1063730745 | Bup-jong Jennifer Kum | Pathology | 1124 Columbia St # 8320, Seattle, WA 98104 | 2010-05-05 |
| 1689866501 | Sandra L White | Pathology | 1001 Sw Klickitat Way Ste 205, Psip, Seattle, WA 98134-1161 | 2007-08-14 |
| 1003963950 | Erin Rudzinski | Pathology | 4800 Sandpoint Way Ne, A6901, Department of Laboratories, Seattle, WA 98105 | 2007-01-04 |
| 1578543351 | Joren Brent Keylock | Pathology | 1001 Sw Klickitat Way, Suite 205, Puget Sound Institute of Pathology, Seattle, WA 98134 | 2006-01-18 |
| 1174505226 | Kenneth Alan Meckler | Pathology | 1001 Klickitat Way Sw, #205, Seattle, WA 98134 | 2005-11-15 |
| 1295717346 | Ilya Stone | Pathology | 1001 Sw Klickitat Way, #205, Seattle, WA 98134-1161 | 2005-11-15 |
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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.