MARK A. BURKETT (NPI# 1972587566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972587566 |
| Entity Type | Individual |
| Full Name | MARK A. BURKETT |
| Credential | D.O. |
| Practice Address |
1270 E State Road 205 Suite 150 Columbia City IN 46725-9499 |
| Mailing Address |
1234 E Dupont Rd Suite 1 Fort Wayne IN 46825-1545 |
| Practice Telephone | 2602489890 |
| Practice Fax Number | 2602489895 |
| Mailing Telephone | 2603739700 |
| Mailing Fax Number | 2603739740 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2013-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 02002438A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200367950 | 05 | |
| IN | MEDICARE DMEPOS | 3937240004 | 01 |
| UNITED HEALTHCARE | 00000968827 05 | 01 | |
| IN | ANTHEM | 000000210720 | 01 |
| IN | PHYSICIANS HEALTH PLAN | 12730 | 01 |
| IN | RAILROAD MEDICARE | 110231565 | 01 |
| AETNA | 4270901 | 01 |
| Street Address |
1270 E STATE ROAD 205 SUITE 150 |
| City | COLUMBIA CITY |
| State | IN |
| Zip Code | 46725-9499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901851 | James Beitzel | Family Medicine | 1270 E State Road 205, Suite 210, Columbia City, IN 46725-9499 | 2005-06-09 |
| 1861783367 | Parkview Health System, Inc | Durable Medical Equipment & Medical Supplies | 1270 E State Road 205, Suite 110, Columbia City, IN 46725-9499 | 2011-05-02 |
| 1124255153 | Svetlana Hagan | Family Medicine | 1270 E State Road 205, Ste 240, Columbia City, IN 46725-9499 | 2009-06-17 |
| 1396722450 | James A. Stapel | Family Medicine | 1270 E State Road 205, Suite 210, Columbia City, IN 46725-9499 | 2005-12-29 |
| 1891796868 | Richard S Dickmeyer | Family Medicine | 1270 E State Road 205, Suite 240, Columbia City, IN 46725-9499 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659858652 | Brittany R Ianucilli | Behavior Technician | 1200 W Depoy Dr, Columbia City, IN 46725 | 2018-07-23 |
| 1467908012 | Andrew Ott, LLC | Community/Behavioral Health | 402 N. Washington St., Columbia City, IN 46725 | 2016-09-01 |
| 1972983641 | Chelsey Caldwell | Pediatrics | 1270 E State Road 205 Ste 230, Columbia City, IN 46725 | 2015-06-08 |
| 1861805541 | Piotr Swiatkowski | Physical Therapist | 1260 East State Road 205, Columbia City, IN 46725 | 2014-06-10 |
| 1952644080 | Yvonka L Lower | Respite Care | 2714e700s, Columbiacity, IN 46725 | 2013-03-27 |
| 1508125873 | Mary Margaret Cyrus | Massage Therapist | 3880 E Cider Mill Rd, Columbia City, IN 46725 | 2012-05-08 |
| 1831473834 | Abigail R West | Occupational Therapy Assistant | 612 N Washington St, Columbia City, IN 46725 | 2011-10-10 |
| 1033367123 | Amy K Sadler | Family Medicine | 1270 E S.r. 205, Suite 240, Columbia City, IN 46725 | 2008-09-03 |
| 1366590937 | Rebecca Leigh Corpuz | Physician Assistant | 885 Connexion Way, Suite 200, Columbia City, IN 46725 | 2007-01-08 |
| 1902919582 | Bart Andrew Benzinger | Optometrist | 402 W. Plaza Dr, Wal-mart Vision Center, Columbia City, IN 46725 | 2006-08-16 |
| Find all providers in zip 46725 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053398156 | Calvert Bryan Wait | Internal Medicine | 360 N Oak St, Columbia City, IN 46725-1608 | 2005-12-29 |
| 1841423027 | C. Bryan Wait, M.d., Internal Medicine,p.c. | Internal Medicine | 360 N Oak St, Columbia City, IN 46725-1608 | 2009-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1194354530 | Mycare Express Clinic | Internal Medicine | 3608 W 80th Ln, Merrillville, IN 46410-5061 | 2020-04-07 |
| 1508493669 | Md Healthcare Direct | Internal Medicine | 5330 Harrison Street, Merrillville, IN 46410-1465 | 2020-03-26 |
| 1386280923 | Spencer Wellness Centre LLC | Internal Medicine | 7202 E 71st St, Indianapolis, IN 46256-1904 | 2019-11-19 |
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1699321307 | Medical Consultants of Central Indiana LLC | Internal Medicine | 5252 E 82nd St Ste 300, Indianapolis, IN 46250-5704 | 2019-08-18 |
| 1235799909 | Emd Healthcare, LLC | Internal Medicine | 6582 W Deerfield Dr, Zionsville, IN 46077-7500 | 2019-06-16 |
| 1487217121 | Perry County Memorial Hospital | Internal Medicine | 559 Main St Ste 1, Rockport, IN 47635-1451 | 2019-04-18 |
| 1245797208 | Shaze Medical Group LLC | Internal Medicine | 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130-3602 | 2019-02-26 |
| 1881167997 | Jara Lynn Southerland | Internal Medicine | 10122 E 10th St Ste 220, Indianapolis, IN 46229-2664 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
| City | COLUMBIA CITY |
| Zip Code | 46725 |
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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.