DR. JOHN D BURK (NPI# 1518991033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518991033 |
| Entity Type | Individual |
| Full Name | DR. JOHN D BURK |
| Credential | MD |
| Practice Address |
516 Pegram Dr Tupelo MS 38801-6347 |
| Practice Telephone | 6628446272 |
| Practice Fax Number | 6628441603 |
| Mailing Telephone | 6628446272 |
| Mailing Fax Number | 6628441603 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 7919 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00123008 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801309620 | John Burk | Physical Therapist | 800 N Jim Wright Fwy Bldg 2, White Settlement, TX 76108-1068 | 2017-11-15 |
| 1801129598 | John Michael Burk | Specialist/Technologist | 16 Raven Wood Way, Pooler, GA 31322-4006 | 2009-09-11 |
| 1205285327 | John Burk | Family Medicine | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2016-06-09 |
| 1407216716 | John Jackson Burk | Pediatrics | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2016-02-29 |
| 1104158609 | John Cedric Burk | Registered Nurse | Usameddac Bavaria, Cmr 411,bldg 700, Rose Barracks, Apo, AE 09112 | 2010-02-08 |
| 1154419216 | John Edwin Burk | Physical Therapist | 1100 Route 55, Suite 101, Lagrangeville, NY 12540-5017 | 2006-10-11 |
| 1700871019 | John R Burk | Internal Medicine | 1201 Fairmount Ave, Fort Worth, TX 76104-4215 | 2005-09-13 |
| Street Address |
516 PEGRAM DR |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972537355 | Jeffrey C Houin | Dermatology | 516 Pegram Dr, Tupelo, MS 38801-6347 | 2006-07-10 |
| 1215249131 | Bradley Noel Greenhaw | Dermatology | 516 Pegram Dr, Tupelo, MS 38801-6347 | 2010-07-08 |
| 1053491605 | Dermatology Center of North Ms Pa | Dermatology | 516 Pegram Dr, Tupelo, MS 38801-6347 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972537355 | Jeffrey C Houin | Dermatology | 516 Pegram Dr, Tupelo, MS 38801-6347 | 2006-07-10 |
| 1215249131 | Bradley Noel Greenhaw | Dermatology | 516 Pegram Dr, Tupelo, MS 38801-6347 | 2010-07-08 |
| 1063639185 | The Wren Clinic, PC | Dermatology | 874 Barnes Crossing Rd, Tupelo, MS 38804-0909 | 2007-04-19 |
| 1053491605 | Dermatology Center of North Ms Pa | Dermatology | 516 Pegram Dr, Tupelo, MS 38801-6347 | 2006-10-17 |
| 1629016126 | Charles M Wren II | Dermatology | 830 S Gloster St, Tupelo, MS 38801-4934 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760043046 | Skin In The Game, Pllc | Dermatology | 6510 Highway 90, Gautier, MS 39553-5015 | 2019-06-26 |
| 1427535079 | Jenna Joe Rose Cooper | Dermatology | 2204 Jefferson Davis Dr, Oxford, MS 38655-5222 | 2018-07-26 |
| 1427460849 | Anna Allred Wile | Dermatology | 4331 Highway 39 N Ste A, Meridian, MS 39301-1007 | 2014-05-21 |
| 1134558331 | South Central Clinics, Inc | Dermatology | 920 Matthew Dr Ste 8, Waynesboro, MS 39367-2553 | 2013-11-07 |
| 1407296825 | Ashley Nicole Emerson | Dermatology | 6510 Highway 90 Ste C, Gautier, MS 39553-5015 | 2013-06-29 |
| 1265729719 | Jasmine C. Hollinger | Dermatology | 2080 S Frontage Rd Ste 113, Vicksburg, MS 39180-5882 | 2011-07-06 |
| 1295022861 | Kenneth Daniel Saul | Dermatology | 5002 Highway 39 N Bldg A, Meridian, MS 39301-1078 | 2011-07-05 |
| 1689969735 | Adam C Byrd | Dermatology | 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 | 2011-06-16 |
| 1063724987 | Lyndsay R Shipp | Dermatology | 705 Sisk Ave Ste 105, Oxford, MS 38655-3413 | 2010-07-08 |
| 1144545195 | Lisa Renee Chastant | Dermatology | 81 Mdos/sgomd, 301 Fisher St., Keesler Afb, MS 39534-2519 | 2010-04-01 |
| 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.