RONALD BURK (NPI# 1528040136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528040136 |
| Entity Type | Individual |
| Full Name | RONALD BURK |
| Practice Address |
1099 Florida Ave S Rockledge FL 32955-2138 |
| Mailing Address |
2133 Rockledge Dr Rockledge FL 32955-5401 |
| Practice Telephone | 3216326900 |
| Practice Fax Number | 3216397222 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2010-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
ME19766 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 036995100 | 05 |
| Street Address |
1099 FLORIDA AVE S |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437131026 | Thomas Scott Holt | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2005-11-18 |
| 1952659799 | Elyse Brooke Amigo | Audiologist | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2012-08-28 |
| 1124288295 | Rachel M Crain | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2008-06-12 |
| 1063685063 | Mary Sue Kyle | Audiologist | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2008-04-10 |
| 1871576033 | David Whitley | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2005-11-22 |
| 1659354769 | Hobson Wilson | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2005-11-22 |
| 1811979412 | Hance Phillips | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2005-11-18 |
| 1669454278 | Brevard Ear Nose & Throat Center Pa | Otolaryngology | 1099 Florida Ave S, Rockledge, FL 32955-2138 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093228587 | Cosmetic Medicine Enterprises Inc | Otolaryngology | 34156 Us Hwy 19 N, Palm Harbor, FL 34684 | 2017-11-07 |
| 1205362183 | Clifton Bridges | Otolaryngology | 6970 Sunnyside Dr, Leesburg, FL 34748-9556 | 2017-05-11 |
| 1811305568 | Medney Tardy Jr. | Otolaryngology | 651 Jacana Cir, Naples, FL 34105-7400 | 2014-07-25 |
| 1699113605 | Lebeau Clinic Pl | Otolaryngology | 1020 N Palafox St, Pensacola, FL 32501-3118 | 2013-06-12 |
| 1164867644 | Joseph Samuel Moak IIi | Otolaryngology | 1819 Salk Ave, Tavares, FL 32778-4311 | 2013-05-09 |
| 1750661328 | Jesse Andrew Burnam | Otolaryngology | 15647 Carriedale Ln, Fort Myers, FL 33912-3904 | 2011-08-26 |
| 1619276102 | Thomas Lewis Tzikas | Otolaryngology | 526 Se 5th Ave, Delray Beach, FL 33483-5213 | 2011-03-23 |
| 1356595268 | Vijay M Sharma | Otolaryngology | 601 University Blvd Ste 201, Jupiter, FL 33458-2788 | 2008-11-05 |
| 1881846731 | Anthony Bared | Otolaryngology | 6280 Sunset Dr Ste 504, South Miami, FL 33143-4870 | 2008-10-22 |
| 1700034345 | Larry Nelson Smith | Otolaryngology | 10925 Sw 27th Ave, Gainesville, FL 32608-8937 | 2008-09-08 |
| 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.