Richard A Burke (NPI# 1245237817, PAC ID# 3173624962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1245237817 |
PAC ID by PECOS | 3173624962 |
Professional Enrollment ID | I20100520000500 |
Full Name | Richard A Burke |
Organization Legal Name | COMMUNITY HOSPITAL ASSOCIATION |
Address |
100 E Cass St Rock Port Family Medicine Rock Port MO 64482-1528 |
Phone Number | 6607445361 |
Gender | M |
Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
Graduation Year | 1998 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 1557316783 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
261303 | COMMUNITY HOSPITAL ASSOCIATION |
161366 | SHENANDOAH MEDICAL CENTER |
260050 | SSM HEALTH ST. FRANCIS HOSPITAL- MARYVILLE |
Address | Phone | Organization |
---|---|---|
100 E Cass St, Rock Port Family Medicine, Rock Port, MO 64482-1528 | 6607445361 | COMMUNITY HOSPITAL ASSOCIATION |
Organization Legal Name | COMMUNITY HOSPITAL ASSOCIATION |
Physicians | 13 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lindsay M Williams | Family Medicine | Community Hospital Association | 26136 Us Hwy 59, Fairfax, MO 64446-9105 |
Ross A Beavers | Certified Registered Nurse Anesthetist (crna) | Community Hospital Association | 1301 E H St, Community Hospital, Mc Cook, NE 69001-3482 |
Dustin Charles Carpenter | Family Medicine | Community Hospital Association | 26136 Us Hwy 59, Fairfax, MO 64446-9105 |
Evan John Geilenkirchen | Certified Registered Nurse Anesthetist (crna) | Community Hospital Association | 1301 E H St, Community Hospital, Mc Cook, NE 69001-3482 |
Jane L Dawson | Obstetrics/gynecology | Community Hospital Association | 26136 Us Hwy 59, Fairfax, MO 64446-9105 |
Pamala D Davis | Nurse Practitioner | Community Hospital Association | 100 E Cass St, Rock Port Family Medicine, Rock Port, MO 64482-1528 |
Heather Lynnette Frisbie | Certified Registered Nurse Anesthetist | Community Hospital Association | 1301 E H St, Mc Cook, NE 69001-3482 |
Theresa M Langan | Nurse Practitioner | Community Hospital Association | 1301 E H St, Mc Cook, NE 69001-3482 |
Melissa S Masonbrink | Nurse Practitioner | Community Hospital Association | 226 W Main St, West Nodaway Family Medicine, Burlington Junction, MO 64428-0135 |
Rebecca J Heits | Nurse Practitioner | Community Hospital Association | 26136 Us Hwy 59, Fairfax, MO 64446-9105 |
Street Address |
100 E CASS ST ROCK PORT FAMILY MEDICINE |
City | ROCK PORT |
State | MO |
Zip | 64482-1528 |
Name | Specialty | Organization | Address |
---|---|---|---|
Pamala D Davis | Nurse Practitioner | Community Hospital Association | 100 E Cass St, Rock Port Family Medicine, Rock Port, MO 64482-1528 |
Name | Specialty | Organization | Address |
---|---|---|---|
Valicia Kay Kirby | Nurse Practitioner | Wound Care Plus LLC | 470 Rainbow Dr, Rock Port, MO 64482-1641 |
City | ROCK PORT |
Zip Code | 64482 |
Specialty | FAMILY MEDICINE |
City + Specialty | ROCK PORT + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.