MICHAEL P. BURK, D.P.M., PLLC (NPI# 1972710945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972710945 |
| Entity Type | Organization |
| Organization Name | MICHAEL P. BURK, D.P.M., PLLC |
| Practice Address |
39555 W 10 Mile Rd Suite 307 Novi MI 48375-2950 |
| Practice Telephone | 2484761500 |
| Practice Fax Number | 2484760502 |
| Mailing Telephone | 2484761500 |
| Mailing Fax Number | 2484760502 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-03-31 |
| Authorized Official Name | DR. MICHAEL PATRICK BURK (OWNER) |
| Authorized Official Telephone | 2484761500 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901001081 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | 480034200 | 01 |
| BCBS | 480F340830 | 01 | |
| BCBS | 4856351730 | 01 | |
| MI | 4237912 | 05 |
| Street Address |
39555 W 10 MILE RD SUITE 307 |
| City | NOVI |
| State | MI |
| Zip Code | 48375-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780666461 | Theodore William Shively | Family Medicine | 39555 W 10 Mile Rd, Suite 302, Novi, MI 48375-2950 | 2005-11-17 |
| 1265915748 | Lauren M Dunn | Registered Nurse | 39555 W 10 Mile Rd, Novi, MI 48375-2950 | 2018-09-11 |
| 1023421963 | Carla Ismail | Dentist | 39555 W 10 Mile Rd, Novi, MI 48375-2950 | 2014-06-09 |
| 1174875140 | Primecare Urgent Care Pllc | Clinic/Center | 39555 W 10 Mile Rd, Suite 301, Novi, MI 48375-2950 | 2012-10-15 |
| 1518272368 | Lisa Maroun | Dietitian, Registered | 39555 W 10 Mile Rd, Suite 302, Novi, MI 48375-2950 | 2010-08-17 |
| 1144551805 | Kelly M Krueger Do Pllc | Family Medicine | 39555 W 10 Mile Rd, Suite 305, Novi, MI 48375-2950 | 2010-01-20 |
| 1629237854 | Richard M Newman D.c. P.C. | Chiropractor | 39555 W 10 Mile Rd, #307, Novi, MI 48375-2950 | 2008-06-03 |
| 1053348359 | Michael Patrick Burk | Podiatrist | 39555 W 10 Mile Rd, Suite 307, Novi, MI 48375-2950 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
| Find all providers in zip 48375 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164820098 | Alegis Care - Michigan PC | Podiatrist | 39555 Orchard Hill Pl Ste 13, Novi, MI 48375-5374 | 2014-12-09 |
| 1750367009 | John D Miller | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2005-12-19 |
| 1902890627 | Steven Ronald Migdalewicz | Podiatrist | 30750 Tanglewood Dr, Novi, MI 48377-1589 | 2005-09-08 |
| 1558360875 | Kristina E Green | Podiatrist | 44000 W 12 Mile Rd, Suite 111, Novi, MI 48377-2644 | 2005-07-19 |
| 1619214855 | Foot Healthcare Associates, PC | Podiatrist | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1213 | 2013-01-08 |
| 1457593162 | Thomas Belken | Podiatrist | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1213 | 2009-03-26 |
| 1134380181 | Robert Matthew Koivunen | Podiatrist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2008-06-23 |
| 1972635829 | Steven R Migdalewicz Dpm PC | Podiatrist | 30750 Tanglewood Dr, Novi, MI 48377-1589 | 2007-03-09 |
| 1528103009 | Associated Podiatrists PC | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2007-02-21 |
| 1447357959 | Jeffrey B Klein | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2006-09-19 |
| Find all providers in NOVI | ||||
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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.