LOLA J BURKE (NPI# 1972897684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972897684 |
| Entity Type | Individual |
| Full Name | LOLA J BURKE |
| Credential | MD |
| Practice Address |
1189 Tibwin Rd Mc Clellanville SC 29458-9405 |
| Mailing Address |
2500 Foundation Way Martinsburg WV 25401-9000 |
| Practice Telephone | 8438873274 |
| Practice Fax Number | 8438873817 |
| Mailing Telephone | (304) 285-7101 |
| Mailing Fax Number | 3042857125 |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 39113 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 3810027539 | 05 |
| Street Address |
1189 TIBWIN RD |
| City | MC CLELLANVILLE |
| State | SC |
| Zip Code | 29458-9405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588618441 | St. James-santee Family Health Center Inc. | Clinic/Center | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2006-05-22 |
| 1922652155 | Megan Elizabeth Clossman | Nurse Practitioner | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2019-07-25 |
| 1790180610 | St. James-santee Familly Health Center, Inc. | Clinic/Center | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2014-11-04 |
| 1053716167 | Suzanne Morris Blakeley | Nurse Practitioner | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2014-10-31 |
| 1417208091 | Ryan Nicole Law Johnson | Nurse Practitioner | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2012-09-24 |
| 1417973991 | Deborah Ann Fraser | Counselor | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588061865 | Debra Elizabeth Erich | Nurse Practitioner | 580 Romain Road, Mcclellanville, SC 29458 | 2014-12-02 |
| 1558480764 | Sandra Reid Bigelow | Dentist | 832 Pinckney St., Mcclellanville, SC 29458 | 2007-03-28 |
| 1578620084 | Mcclellanville Pharmacy Inc. | Pharmacy | 10035 Highway 17 North, Mcclellanville, SC 29458 | 2007-01-03 |
| 1750320305 | Joseph Deer Thomas Jr. | Emergency Medicine | 606 R Pinckney Street, Mc Clellanville, SC 29458 | 2006-06-06 |
| 1881012904 | Roper Saint Francis Physicians Network | Family Medicine | 631 Venning St, Mc Clellanville, SC 29458 | 2014-04-05 |
| 1073684585 | Patricia A Quinlan | Nurse Practitioner | 1189 Tibwin Road, Mcclelanville, SC 29458 | 2006-11-13 |
| 1457416687 | Gail J Guzzo | Pharmacist | 815 Pinckney Street, Mcclellanville, SC 29458-0368 | 2006-12-27 |
| 1598830598 | James E. Fulcher | Family Medicine | 631 Venning St, Mc Clellanville, SC 29458-0699 | 2006-11-22 |
| 1366767683 | St. James-santee Family Health Center Inc. | Clinic/Center | 8900 N Highway 17, Mc Clellanville, SC 29458-7408 | 2010-03-30 |
| 1467897157 | Isla Ruth Merritt | Registered Nurse | 8900 N Highway 17, Mc Clellanville, SC 29458-7408 | 2013-05-08 |
| Find all providers in zip 29458 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881012904 | Roper Saint Francis Physicians Network | Family Medicine | 631 Venning St, Mc Clellanville, SC 29458 | 2014-04-05 |
| 1598830598 | James E. Fulcher | Family Medicine | 631 Venning St, Mc Clellanville, SC 29458-0699 | 2006-11-22 |
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|---|---|---|---|---|
| 1801495841 | Neuro Health Sc LLC | Family Medicine | 108 Commons Blvd Ste A, Piedmont, SC 29673-7766 | 2020-10-21 |
| 1811595499 | Laura Coolidge | Family Medicine | 1528 Seacroft Rd, Charleston, SC 29412-8113 | 2020-10-15 |
| 1154928570 | Lexington Health Inc | Family Medicine | 146 E Hospital Dr Ste 500, West Columbia, SC 29169-4842 | 2020-10-08 |
| 1477150340 | Meghan Hodapp | Family Medicine | 623 Awendaw Lakes Blvd, Awendaw, SC 29429-6407 | 2020-10-05 |
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | MC CLELLANVILLE |
| Zip Code | 29458 |
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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.