BURKE DERMATOLOGY, PA (NPI# 1871646919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871646919 |
| Entity Type | Organization |
| Organization Name | BURKE DERMATOLOGY, PA |
| Practice Address |
774 Christiana Rd Ste 107 Newark DE 19713-4248 |
| Practice Telephone | 3022303376 |
| Practice Fax Number | 3022244990 |
| Mailing Telephone | 3022303376 |
| Mailing Fax Number | 3022244990 |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | THOMAS JOHN BURKE (PRESIDENT) |
| Authorized Official Telephone | 3022303376 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | C20006239 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
774 CHRISTIANA RD STE 107 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-4248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083828180 | Aton Mordechai Holzer | Dermatology | 774 Christiana Rd Ste 107, Newark, DE 19713-4248 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| 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 |
|---|---|---|---|---|
| 1124464201 | Gina M Caputo | Dermatology | 537 Stanton Christiana Rd Ste 207, Newark, DE 19713 | 2013-05-16 |
| 1659638443 | Thomas J Hagele | Dermatology | 1717 W Main St Ste 204, Newark, OH 43055-1362 | 2012-04-18 |
| 1457625758 | Licking Memorial Professional Corporation | Dermatology | 1272 West Main Street Bldg 2 Ste. 2, Newark, OH 43055 | 2012-03-05 |
| 1285896829 | Matthew Russell Hanson | Dermatology | 537 Stanton Christiana Road, Siute 107, Apex Medical Center, Newark, DE 19713-0000 | 2008-06-25 |
| 1669651816 | Larry J Little | Dermatology | 71 S Terrace Ave, Newark, OH 43055-1355 | 2007-10-24 |
| 1861404709 | Kathleen M. Rogers | Dermatology | 1272 W Main St Ste 203, Newark, OH 43055-2055 | 2006-08-12 |
| 1881698389 | Thomas J. Burke | Dermatology | H48 Omega Drive, Newark, DE 19713 | 2005-06-13 |
| 1023012515 | Helen A. Mashek | Dermatology | 537 Stanton Christiana Rd, Suite # 207, Newark, DE 19713-2146 | 2005-06-13 |
| 1801185681 | Dermatology and Skin Surgery Center-newark LLC | Dermatology | 71 S Terrace Ave, Newark, OH 43055-1355 | 2011-04-01 |
| 1043450356 | Christiana Care Health Services Inc | Dermatology | 200 Hygeia Dr, Health Care Center At Christiana, Newark, DE 19713-2049 | 2009-02-26 |
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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.