Individual provider Active NPI

Elena Burkhart, PA - C

  • Surgical Physician Assistant
  • Spring, TX
National Provider Identifier
1053683870
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA07691 Issued in TX
Practice address
6830 Adrienne Arbor Dr Ste 520
Spring, TX 77389-2153
Phone
(409) 789-2710
Fax
(979) 282-5727
NPI assigned
Feb 9, 2012
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA07691 TX Primary

Addresses

Primary practice location

6830 Adrienne Arbor Dr Ste 520
Spring, TX 77389-2153

Mailing address

920 Medical Plaza Dr
Ste 520
The Woodlands, TX 77380-3204
Phone (832) 562-3974

Other identifiers 1

IdentifierTypeStateIssuer
300040801MedicaidTX

Other names 1

  • Elena Dannenmaier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reliable Hospice LLC Past Accepting new patients
KPS Cardiovascular Surgery PA Surgical Past Accepting new patients
Wound Care Center of Houston Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5880/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1053683870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR",
            "address_2": "STE 520",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803204",
            "telephone_number": "832-562-3974",
            "fax_number": "832-663-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 ADRIENNE ARBOR DR STE 520",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773892153",
            "telephone_number": "409-789-2710",
            "fax_number": "979-282-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHART",
        "first_name": "ELENA",
        "credential": "PA - C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-09",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA07691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300040801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "DANNENMAIER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.