Burkhart Pediatric & Adolescent Dermatology PLLC

Primary specialty

Pediatric Dermatology PhysicianTaxonomy code 207NP0225X

Legal business name

BURKHART PEDIATRIC & ADOLESCENT DERMATOLOGY PLLC

Practice address

135 Parkway Office CT Ste 201
Cary, NC 27518-7425

Phone

(919) 476-1118

Fax

(855) 878-6037

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

Craig Burkhart, MDNPI 1962624478

Title

Owner

Phone

(919) 724-2365

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20521/brand/1/csg/1/fhir/r4
• Direct secure messaging: craig.burkhart.1@20521.direct.athenahealth.com

Practitioners 6

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

• Craig Burkhart, M.D.

  • Dermatology Physician
  • Cary, NC
  • NPI 1962624478
  Medicare reassignment NPD Authorized official
• Jennifer Choo, PA-C

  • Physician Assistant
  • Cary, NC
  • NPI 1750013405

  Pediatric Dermatology

  NPD
• Lauren Dembnicki Massey, NP-C

  • Family Nurse Practitioner
  • Cary, NC
  • NPI 1063937688
  NPD
• Katherine Corpening Neighbors, NP

  • Pediatric Nurse Practitioner
  • Cary, NC
  • NPI 1225741176
  NPD
• Mollie Kate Register, PA-C

  • Physician Assistant
  • Cary, NC
  • NPI 1750161287
  NPD
• Emily O'Rourke

  • Pediatric Nurse Practitioner
  • Cary, NC
  • NPI 1952221418
  NPD (past)

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1073155032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PARKWAY OFFICE CT STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187425",
            "telephone_number": "919-476-1118",
            "fax_number": "855-878-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PARKWAY OFFICE CT STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187425",
            "telephone_number": "919-476-1118",
            "fax_number": "855-878-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKHART PEDIATRIC & ADOLESCENT DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "BURKHART",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-724-2365",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craig.burkhart.1@20521.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "135 Parkway Office Ct Ste 201",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275187425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eliza Burgess, LCMHCA
• Rita Burgess, MPT
• Margaret Burgin, DDS
• Joseph Burke, LCSW
• Julie Lynn Burke, OTR/L
• Craig Burkhart, M.D.
• Sydney Burkhart
• Leanna Taylor Burkhead
• Elizabeth Burkholder, NP
• Megan Burks, BCBA

• Pediatric Dermatology Physician in Cary, NC
• Providers in Cary, NC by specialty
• Pediatric Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.

Verify at the official NPI Registry.