MITCHELL IRA BURKEN (NPI# 1407402506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407402506 |
| Entity Type | Individual |
| Full Name | MITCHELL IRA BURKEN |
| Other Name | DR. MITCHELL IRA BURKEN |
| Credential | MD |
| Practice Address |
5716 Industry Ln Frederick MD 21704-5224 |
| Practice Telephone | 3016634130 |
| Mailing Telephone | 3016634130 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
D0031869 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
5716 INDUSTRY LN |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528012754 | Smith Berch, Inc. | Clinic/Center | 5716 Industry Ln, Frederick, MD 21704-5224 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619514049 | Dundalk Medical Group | Internal Medicine | 207 Wise Avenue, Dundalk, MD 21222-4911 | 2019-12-04 |
| 1356801534 | Matclinic Physicians Practice Group LLC | Internal Medicine | 107 Ridgely Ave Ste 12, Annapolis, MD 21401-1417 | 2019-03-22 |
| 1326525973 | Behavioral Health Leadership Institute, Inc | Internal Medicine | 401 Edgar Street (van), Baltimore, MD 21202 | 2018-07-26 |
| 1760913297 | Rek Advanced Therapeutic Solutions | Internal Medicine | 6419 York Rd # A, Ste 100, Baltimore, MD 21212-2144 | 2017-03-26 |
| 1457604944 | Justin Colin Everson | Internal Medicine | Building 19h, Room 270, Perry Point Va Medical Center, Perry Point, MD 21902 | 2012-10-21 |
| 1033323795 | Harry Calvin Stein | Internal Medicine | 11140 Rockville Pike Ste 400, Rockville, MD 20852-3104 | 2007-05-10 |
| 1093738635 | Nurul Amin Chowdhury | Internal Medicine | 5721 Grosvenor Ln, Bethesda, MD 20814-1833 | 2006-07-25 |
| 1770575326 | Howard Byron Cohen | Internal Medicine | 6717 Park Heights Ave, Baltimore, MD 21215-2443 | 2005-08-19 |
| 1497161483 | Chase Brexton Health Care | Internal Medicine | 200 Hospital Drive, Suite 300, Glen Burnie, MD 21061-5877 | 2014-07-10 |
| 1376801654 | Aditi Ringwala | Internal Medicine | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
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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.