Active NPI
Karl Patrick Burk, L.P.
- Prosthetist
- Troy, OH
National Provider Identifier
1174793517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 179
- Practice address
- 1840 W Main St
Troy, OH 45373-2304 - Phone
- (937) 339-1123
- Fax
- (937) 339-1124
- NPI assigned
- Feb 29, 2008
- Last updated
- Nov 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 179 | OH | Primary |
Addresses
Primary practice location
1840 W Main St
Troy, OH 45373-2304
Mailing address
1498 N Broadway St
Greenville, OH 45331-2454
Phone (937) 776-7303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179 | OH | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Prosthetics | Prosthetist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1174793517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1498 N BROADWAY ST",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453312454",
"telephone_number": "937-776-7303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 W MAIN ST",
"city": "TROY",
"state": "OH",
"postal_code": "453732304",
"telephone_number": "937-339-1123",
"fax_number": "937-339-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURK",
"first_name": "KARL",
"middle_name": "PATRICK",
"credential": "L.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-29",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "OH",
"license": "179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.