Organization Active NPI

William a Burke MD PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Syracuse, NY
National Provider Identifier
1124160841
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
WILLIAM A BURKE MD PC
Practice address
4900 Broad Road Suite 1B
Community General Hospital
Syracuse, NY 13215-2265
Phone
(315) 492-5626
Fax
(315) 492-5306
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. William A Burke, MD
Title
Doctor
Phone
(315) 492-5626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

4900 Broad Road Suite 1B
Community General Hospital
Syracuse, NY 13215-2265

Mailing address

PO Box 397
Skaneateles, NY 13152-0397
Phone (315) 492-5626

Other identifiers 1

IdentifierTypeStateIssuer
00487316MedicaidNY

National Provider Directory

National Provider Directory

Locations

4900 Broad Rd
Ste 1B
Syracuse, NY 13215
Phone (315) 255-3397

4900 Broad Rd
Ste 4V
Syracuse, NY 13215
Phone (315) 492-3700

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1124160841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131520397",
            "telephone_number": "315-492-5626",
            "fax_number": "315-492-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BROAD ROAD SUITE 1B",
            "address_2": "COMMUNITY GENERAL HOSPITAL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152265",
            "telephone_number": "315-492-5626",
            "fax_number": "315-492-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A BURKE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "315-492-5626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00487316",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

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