DR. THOMAS RAY BURKLOW (NPI# 1588608434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588608434 |
| Entity Type | Individual |
| Full Name | DR. THOMAS RAY BURKLOW |
| Credential | M.D. |
| Practice Address |
Walter Reed National Military Ctr 8901 Wisconsin Ave Bethesda MD 20889-0001 |
| Mailing Address |
9904 Willow Tree Ter Rockville MD 20850-5473 |
| Practice Telephone | 3013198916 |
| Practice Fax Number | 3013192420 |
| Mailing Telephone | 3012516179 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
D39820 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
WALTER REED NATIONAL MILITARY CTR 8901 WISCONSIN AVE |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932101615 | Victor S Schneider | Specialist | Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2005-08-12 |
| 1457887432 | Brent Denn Nose | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-05-11 |
| 1508392606 | Daniel Mitsuhiro Zink | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-05-10 |
| 1659807964 | Donald Francis Colantonio IIi | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2017-05-05 |
| 1033645353 | Stephanie Ajuzie | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 4494 North Palmer Road, Building 10, 1st Floor, Room 10, Bethesda, MD 20889-0001 | 2017-05-05 |
| 1649705351 | Patrick Bagley | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-5669 | 2017-05-01 |
| 1578098729 | Gina Hyun | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-25 |
| 1053846568 | Coursen Schneider | Pediatrics | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-23 |
| 1609300276 | Alex Stanley Peters | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-20 |
| 1669906236 | Yarrow Sheldon | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
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| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174878581 | Maryland Pediatric Cardiology Center | Pediatrics | 3004 Seneca Chief Trl, Ellicott City, MD 21042-1418 | 2012-07-23 |
| 1093093783 | William Harold Neches | Pediatrics | 5229 Strathmore Ave, Kensington, MD 20895-1119 | 2011-07-28 |
| 1346531985 | Jaheedah Aminah Roane | Pediatrics | 180 Thomas Johnson Dr Ste 100, Frederick, MD 21702-4491 | 2011-05-01 |
| 1205094828 | Caridad Maylin Delauz | Pediatrics | 1800 Orleans St # M2319, Baltimore, MD 21287-0010 | 2008-05-30 |
| 1871555474 | James D Telep | Pediatrics | 2024 West Street, Suite 304, Annapolis, MD 21401-0001 | 2006-04-06 |
| 1619942042 | Richard Elliot Ringel | Pediatrics | Johns Hopkins Hospital - Brady 508, 600 North Wolfe St, Baltimore, MD 21287-0001 | 2006-02-21 |
| 1689134124 | Pm Kids | Pediatrics | 603 Post Office Rd, Waldorf, MD 20602-1914 | 2019-03-21 |
| 1164821955 | Pediatric Cardiology of Maryland | Pediatrics | 2024 West Street, Suite 304, Annapolis, MD 21401-0001 | 2014-08-18 |
| 1902164239 | Benjamin Barnes | Pediatrics | 1800 Orleans St, Baltimore, MD 21287-0010 | 2012-04-24 |
| 1801181136 | Shari L Wellen | Pediatrics | 1800 Orleans St, Baltimore, MD 21287-0010 | 2011-06-15 |
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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.