Charles S Burke, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35057923 Issued in OH

Practice address

27475 Holiday LN
Perrysburg, OH 43551-3350

Phone

(419) 872-0619

Fax

(419) 872-2466

NPI assigned

Dec 21, 2005

Last updated

Nov 1, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of South Florida College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MBHC Inc

  • Mental Health Counselor
  • Perrysburg, OH
  • NPI 1457548224
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1164408175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27475 HOLIDAY LN",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513350",
            "telephone_number": "419-872-0619",
            "fax_number": "419-872-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27475 HOLIDAY LN",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513350",
            "telephone_number": "419-872-0619",
            "fax_number": "419-872-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "CHARLES",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35057923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Buck
• Sharetta Buckner, CDCA
• Buderer Drug Co.
• Matthew J Buderer, R.PH.
• Mary Burchfield, FNP-C
• Jacob Burmeister, PHD
• Brooklyn Burns
• Julia Denise Burrow, M.D.
• Tammy Bursley
• Thomas E Butler II, MD

• Psychiatry Physician in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.