Organization Active NPI

Burkett Cardiovascular Associates, LLC

  • Specialist
  • Monroe, LA
National Provider Identifier
1316077688
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD.07773R Issued in LA
Legal business name
BURKETT CARDIOVASCULAR ASSOCIATES, LLC
Practice address
1811 Glenmar Ave
Monroe, LA 71201-4931
Phone
(318) 361-0086
Fax
(318) 325-7721
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
David G Burkett, M.D.
Title
President
Phone
(318) 361-0086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD.07773R LA Primary

Addresses

Primary practice location

1811 Glenmar Ave
Monroe, LA 71201-4931

Mailing address

1811 Glenmar Ave
Monroe, LA 71201-4931
Phone (318) 361-0086

Other identifiers 1

IdentifierTypeStateIssuer
1940429MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1316077688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 GLENMAR AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014931",
            "telephone_number": "318-361-0086",
            "fax_number": "318-325-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 GLENMAR AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014931",
            "telephone_number": "318-361-0086",
            "fax_number": "318-325-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKETT CARDIOVASCULAR ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "BURKETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-361-0086",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD.07773R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1940429",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.