Burleene Mosburg, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA546 Issued in OK

Practice address

28622 E 141St St S
Coweta, OK 74429-7515

Phone

(918) 486-7425

Fax

(918) 279-6884

NPI assigned

Jan 26, 2007

Sex

Female

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 OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Coweta Medical Group,P.L.L.C.Group PAC ID 2466501069, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitalcaring Group Home health agency, Tulsa, OK, CCN 377787
• Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218
• Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
• Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235
• Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Coweta Medical Group,P.L.L.C.

  • Primary Care Clinic/Center
  • Coweta, OK
  • NPI 1316183536
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Southcrest Hospital, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1750661534
  Care Compare affiliation
• Saint Francis Hospital South LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1376561944
  Care Compare affiliation
• Saint Francis Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1003039488
  Care Compare affiliation
• Saint Francis Hospital, Inc.

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1144228487
  Care Compare affiliation
• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161
  Care Compare affiliation
• St. John Broken Arrow, Inc

  • General Acute Care Hospital
  • Broken Arrow, OK
  • NPI 1497988596
  Care Compare affiliation
• VCG Oklahoma LLC

  • Home Health Agency
  • Tulsa, OK
  • NPI 1073212387
  Care Compare affiliation

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1265588024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28622 E 141ST ST S",
            "address_2": "PO BOX 1030",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744297515",
            "telephone_number": "918-486-7425",
            "fax_number": "918-279-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28622 E 141ST ST S",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744297515",
            "telephone_number": "918-486-7425",
            "fax_number": "918-279-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBURG",
        "first_name": "BURLEENE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Kay Matthews, M.ED., CCC-SLP
• Kathleen Mary McGovern, DO
• Medwise LLC
• Braden Turner Merrill, DDS
• Tyler Jordan Metcalfe, PHARM D
• MTF Counseling Resources, LLC
• Mulwanda Healthcare and Wellness LLC
• Erin Myers
• Leah J Nichols
• Jamie Nix

• Physician Assistant in Coweta, OK
• Providers in Coweta, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.