Organization Active NPI

The Celiac MD Inc

  • Emergency Medicine Physician
  • Napa, CA
National Provider Identifier
1114266871
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A61842 Issued in CA
Legal business name
THE CELIAC MD INC
Practice address
1100 Lincoln Ave
Suite 200
Napa, CA 94558-4900
Phone
(707) 927-5622
Fax
(707) 927-5747
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Amy Burkhart, MDNPI 1467691576
Title
President
Phone
(707) 255-8825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X A61842 CA Primary

Addresses

Primary practice location

1100 Lincoln Ave
Suite 200
Napa, CA 94558-4900

Mailing address

1100 Lincoln Ave
Suite 200
Napa, CA 94558-4900
Phone (707) 927-5622

National Provider Directory

National Provider Directory

Locations

1100 Lincoln Ave
Ste 200
Napa, CA 94558
Phone (707) 927-5622

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1114266871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LINCOLN AVE",
            "address_2": "SUITE 200",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945584900",
            "telephone_number": "707-927-5622",
            "fax_number": "707-927-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LINCOLN AVE",
            "address_2": "SUITE 200",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945584900",
            "telephone_number": "707-927-5622",
            "fax_number": "707-927-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CELIAC MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "BURKHART",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-255-8825",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A61842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.