Active NPI
Linda D Burke MD PA
- Family Medicine Physician
- Eagle, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-4709
- 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
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
445 S Fitness Pl
Eagle, ID 83616
Phone (208) 793-1557
445 S Fitness Pl
#130
Eagle, ID 83616
Phone (208) 939-2332
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Eagle, ID
- NPI 1376581124
-
- Family Nurse Practitioner
- Meridian, ID
- NPI 1205398708
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.