Organization Active NPI

Linda D Burke MD PA

  • Family Medicine Physician
  • Eagle, ID
National Provider Identifier
1124030093
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-4709 Issued in ID
Legal business name
LINDA D BURKE MD PA
Practice address
445 S. Fitness Place
Eagle, ID 83616
Phone
(208) 939-2332
Fax
(208) 939-7676
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Linda Burke, MD
Title
Physician
Phone
(208) 939-2332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M-4709 ID Primary

Addresses

Primary practice location

445 S. Fitness Place
Eagle, ID 83616

Mailing address

PO Box 2287
Eagle, ID 83616-9114
Phone (208) 939-2332

National Provider Directory

National Provider Directory

Locations

445 S Fitness Pl
Eagle, ID 83616
Phone (208) 793-1557

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1124030093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2287",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836169114",
            "telephone_number": "208-939-2332",
            "fax_number": "208-939-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S. FITNESS PLACE",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "208-939-2332",
            "fax_number": "208-939-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA D BURKE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-939-2332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-4709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.