John P Burge (NPI# 1851370753, PAC ID# 8729003751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1851370753 |
| PAC ID by PECOS | 8729003751 |
| Professional Enrollment ID | I20060120000021 |
| Full Name | John P Burge |
| Organization Legal Name | LAKE VILLAGE CLINIC PA |
| Address |
2918 Louis Session St Lake Village AR 71653-6049 |
| Phone Number | 8702655343 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1961 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3274575162 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041328 | CHICOT MEMORIAL MEDICAL CENTER |
| 040051 | DREW MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2918 Louis Session St, Lake Village, AR 71653-6049 | 8702655343 | LAKE VILLAGE CLINIC PA |
| Organization Legal Name | LAKE VILLAGE CLINIC PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James C Wright | Family Medicine | Lake Village Clinic Pa | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| Jo Anne Gregory | Family Medicine | Lake Village Clinic Pa | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| Christopher M Johnson | Nurse Practitioner | Lake Village Clinic Pa | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| Street Address |
2918 LOUIS SESSION ST |
| City | LAKE VILLAGE |
| State | AR |
| Zip | 71653-6049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James C Wright | Family Medicine | Lake Village Clinic Pa | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| Jo Anne Gregory | Family Medicine | Lake Village Clinic Pa | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| Christopher M Johnson | Nurse Practitioner | Lake Village Clinic Pa | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| John R Russell | Family Medicine | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amita N Patel | Nephrology | 1403 St Mary, Lake Village, AR 71653-0001 | |
| Autumn M Bennett | Nurse Practitioner | 905 Borgognoni Dr, Lake Village, AR 71653-1623 | |
| Mark Robinson | Optometry | 1655 S Hwy 65 82, Lake Village, AR 71653-1661 | |
| Mohanned H Ahmed | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Justin G Gates | Certified Registered Nurse Anesthetist (crna) | Chicot Memorial Medical Center | 2729 Hwy 65 and 82 S, Chicot Memorial Anesthesia Services, Lake Village, AR 71653-6136 |
| Ben P Folk Iii | Cardiovascular Disease (cardiology) | 2729s Hwy 65 82, Lake Village, AR 71653-6136 | |
| Jeffrey A Carr | Certified Registered Nurse Anesthetist (crna) | Chicot Memorial Medical Center | 2729 Hwy 65 and 82 S, Chicot Memorial Anesthesia Services, Lake Village, AR 71653-6136 |
| Samuel Turner | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Michael B. Mayfield | General Surgery | Chicot Memorial Medical Center | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Joe D May | Hospitalist | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Find all physicians in zip 71653 | |||
| City | LAKE VILLAGE |
| Zip Code | 71653 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LAKE VILLAGE + GENERAL SURGERY |
Please comment or provide details below to improve the information on John P Burge.
| 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.