Individual provider Active NPI

Joy Christine Burk, MD

  • Pediatrics Physician
  • Alva, OK
National Provider Identifier
1063444396
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
18958 Issued in OK
Practice address
410 4TH St Ste J
Alva, OK 73717-2363
Phone
(580) 430-3333
Fax
(580) 430-3305
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 8796 MT
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 18958 OK Primary

Addresses

Primary practice location

410 4TH St Ste J
Alva, OK 73717-2363

Mailing address

410 4TH St Ste J
Alva, OK 73717-2363
Phone (580) 433-3333

Other identifiers 2

IdentifierTypeStateIssuer
1063444396MedicaidMT
10000292OtherOKOBNDD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913000265 OK Practitioner - Pediatric Medicine 2365437779 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alva Hospital Authority Multi-Specialty Current Accepting new patients
Alva Hospital Authority CurrentSince Sep 1, 2021 Accepting new patients
Alva Hospital Authority/Dba Share Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Alva Hospital Authority Past Accepting new patients

Locations

410 4th St
Ste J
Alva, OK 73717
Phone (580) 430-3333

800 Share Dr
Alva, OK 73717
Phone (580) 327-2800

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063444396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 4TH ST STE J",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737172363",
            "telephone_number": "580-433-3333",
            "fax_number": "580-430-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 4TH ST STE J",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737172363",
            "telephone_number": "580-430-3333",
            "fax_number": "580-430-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "JOY",
        "middle_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-03-07",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "8796",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "18958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063444396",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBNDD",
            "identifier": "10000292",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alva, OK

Sources for this page

Verify at the official NPI Registry.