Burke Medical Inc. – Primary Care Clinic/Center

Key facts

NPI: 1013698299
Entity type: Organization (NPI type 2)
Primary specialty: Primary Care Clinic/Center 261QP2300X
Legal business name: BURKE MEDICAL INC.
Practice address: 3347 N Spyglass Dr.
Florence, AZ 85132
NPI assigned: Jul 31, 2023
Organization subpart: No

Authorized official

Name: Thomas Owen Burke, JD
Title: Director
Phone: (360) 510-5170

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Vilma M Burke, FNP Family Nurse Practitioner · San Tan Valley, AZ · NPI 1548989577

Medicare reassignment NPD AZ · FAMILY

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AZ

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20231019002243	AZ	Part B Supplier - Clinic/Group Practice	9436505963	Receives reassigned benefits from 1 practitioner Practice locations: Florence, AZ

National Provider Directory

Locations

270 E Hunt Hwy
Ste 7
San Tan Valley, AZ 85143
Phone (480) 616-4332

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Primary Care Clinic/Center	261QP2300X			Yes

Addresses

Primary practice location

3347 N Spyglass Dr.
Florence, AZ 85132

Mailing address

3347 N Spyglass Dr
Florence, AZ 85132
Phone (360) 510-5170

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 13, 2023.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1013698299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 N SPYGLASS DR",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "85132",
            "telephone_number": "360-510-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 N SPYGLASS DR.",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "85132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-510-5170",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AZ

All providers in Florence, AZ · Primary Care Clinic/Center in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.