Active NPI
Josef Kay Burwell, PA-C
- Emergency Medicine Physician
- Phoenix, AZ
National Provider Identifier
1316925886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1915
- Practice address
- 2902 W Clarendon Av
Phoenix, AZ 85209 - Phone
- (602) 909-0404
- NPI assigned
- Jan 5, 2006
- Last updated
- Jun 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NU | ||
| Emergency Medicine Physician | 207P00000X | 1915 | AZ | Primary |
Addresses
Primary practice location
2902 W Clarendon Av
Phoenix, AZ 85209
Mailing address
2322 N 8TH St
Phoenix, AZ 85006-1610
Phone (602) 909-0404
Other names 1
- Pamela Burwell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1915 | AZ | MD | School Psychologist |
Practice roles
Interoperability endpoints
- josef.burwell.1@17957.direct.athenahealth.com
- jwburwell@direct.nshcorp.org
Organizations & group practices 21
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1316925886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 N 8TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850061610",
"telephone_number": "602-909-0404",
"fax_number": "602-548-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 W CLARENDON AV",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85209",
"telephone_number": "602-909-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURWELL",
"first_name": "JOSEF",
"middle_name": "KAY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "1915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "BURWELL",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.