Active NPI
Joy Christine Burk, MD
- Pediatrics Physician
- Alva, OK
National Provider Identifier
1063444396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18958
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8796 | MT | |
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063444396 | Medicaid | MT | |
| 10000292 | Other | OK | OBNDD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alva Hospital Authority | Multi-Specialty | Current | Accepting new patients |
| Alva Hospital Authority | Current | Accepting new patients | |
| Alva Hospital Authority/Dba Share Medical Center | Current | 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.
-
- Multi-Specialty Clinic/Center
- Alva, OK
- NPI 1447413422
-
- Clinic/Center
- Waynoka, OK
- NPI 1104410125
-
- Rural Health Clinic/Center
- Alva, OK
- NPI 1497945851
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.