Active NPI
Joanna Louise Burke, MD
- Obstetrics & Gynecology Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- L5263
- Practice address
- 4102 24TH Street
Suite 300
Lubbock, TX 79410 - Phone
- (806) 725-4850
- Fax
- (806) 723-7902
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | L5263 | TX | Primary |
Addresses
Primary practice location
4102 24TH Street
Suite 300
Lubbock, TX 79410
Mailing address
3420 22ND Place
Lubbock, TX 79410
Phone (806) 725-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158943402 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5263 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Covenant Medical Group | Current | Accepting new patients | |
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Methodist Children's Hospital | Past | Accepting new patients | |
| Methodist Children's Hospital | Past | Accepting new patients |
Locations
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
4102 24th St
Ste 300
Lubbock, TX 79410
Phone (806) 725-6430
2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228
3420 22nd Pl
Lubbock, TX 79410
Phone (806) 725-1800
4015 22nd Pl
Lubbock, TX 79410
Phone (806) 725-0000
4102 24th St
Ste 415
Lubbock, TX 79410
Phone (806) 725-6280
4515 Marsha Sharp Fwy
Lubbock, TX 79407
Phone 80674472232432
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
dba Covenant Family Healthcare Center
- Rural Health Clinic/Center
- Abernathy, TX
- NPI 1538412895
-
dba Covenant Children's Hospital
- Children's Hospital
- Lubbock, TX
- NPI 1437171568
-
dba Covenant Home Infusion
- Home Infusion Therapy Pharmacy
- Lubbock, TX
- NPI 1568451763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1275597080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 22ND PLACE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79410",
"telephone_number": "806-725-7800",
"fax_number": "806-723-6532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 24TH STREET",
"address_2": "SUITE 300",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79410",
"telephone_number": "806-725-4850",
"fax_number": "806-723-7902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "JOANNA",
"middle_name": "LOUISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "L5263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158943402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.