Active NPI
Robert L Burkhart, P.A.
- Surgical Physician Assistant
- Portland, OR
National Provider Identifier
1336153352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 00106
- Practice address
- 11782 SW Barnes Rd
Ste 300
Portland, OR 97225-5914 - Phone
- (503) 214-5200
- Fax
- (503) 906-6613
- NPI assigned
- Jul 27, 2006
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 00106 | OR | Primary |
Addresses
Primary practice location
11782 SW Barnes Rd
Ste 300
Portland, OR 97225-5914
Mailing address
11782 SW Barnes Rd
Ste 300
Portland, OR 97225-5914
Phone (503) 214-5200
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00106 | OR | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Fracture Clinic PC | Surgical | 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.
-
dba Orthopedic and Fracture Specialists
- Orthopaedic Surgery Physician
- Portland, OR
- NPI 1285683656
Surgical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1336153352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11782 SW BARNES RD",
"address_2": "STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255914",
"telephone_number": "503-214-5200",
"fax_number": "503-906-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11782 SW BARNES RD",
"address_2": "STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255914",
"telephone_number": "503-214-5200",
"fax_number": "503-906-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHART",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OR",
"license": "00106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.