Active NPI
John R Burke, M.A. CCC-A
- Audiologist
- Steamboat Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 57
- Practice address
- 940 Central Park Dr
Suite 208
Steamboat Springs, CO 80487-8816 - Phone
- (970) 879-7286
- Fax
- (970) 879-7677
- NPI assigned
- Apr 10, 2007
- Last updated
- Aug 29, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 57 | CO | Primary |
Addresses
Primary practice location
940 Central Park Dr
Suite 208
Steamboat Springs, CO 80487-8816
Mailing address
940 Central Park Dr
Suite 208
Steamboat Springs, CO 80487-8816
Phone (970) 879-7286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07789506 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
940 Central Park Dr
Suite 208
Steamboat Springs, CO 80487-8853
Phone (970) 879-7286
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57 | CO | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Speech and Hearing Services Inc. | Single Specialty | Current | Accepting new patients |
Locations
940 Central Park Dr
Ste 208
Steamboat Springs, CO 80487
Phone (970) 879-7286
Networks
- CO HMO
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- CO HMO D-SNP
- NM HMO C-SNP
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northwest Hearing
- Audiologist
- Steamboat Springs, CO
- NPI 1902044662
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503964800000",
"number": "1003039157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 CENTRAL PARK DR",
"address_2": "SUITE 208",
"city": "STEAMBOAT SPRINGS",
"state": "CO",
"postal_code": "804878816",
"telephone_number": "970-879-7286",
"fax_number": "970-879-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 CENTRAL PARK DR",
"address_2": "SUITE 208",
"city": "STEAMBOAT SPRINGS",
"state": "CO",
"postal_code": "804878816",
"telephone_number": "970-879-7286",
"fax_number": "970-879-7677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "M.A. CCC-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2017-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "CO",
"license": "57",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07789506",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Steamboat Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.