Active NPI
David M. Burkons, M.D., Inc
- Gynecology Physician
- South Euclid, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 35040676
- Legal business name
- DAVID M. BURKONS, M.D., INC
- Practice address
- 1611 S Green Rd
004
South Euclid, OH 44121-4128 - Phone
- (216) 297-2061
- Fax
- (216) 297-2034
- NPI assigned
- Nov 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David M Burkons, M.D.
- Title
- Owner
- Phone
- (216) 297-2061
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 35040676 | OH | Primary |
Addresses
Primary practice location
1611 S Green Rd
004
South Euclid, OH 44121-4128
Mailing address
1611 S Green Rd
004
South Euclid, OH 44121-4128
Phone (216) 297-2061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0377784 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
1611 S Green Rd
Ste 4
South Euclid, OH 44121
Phone (216) 297-2061
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- South Euclid, OH
- NPI 1871572289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263427200000",
"number": "1407184179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 S GREEN RD",
"address_2": "004",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441214128",
"telephone_number": "216-297-2061",
"fax_number": "216-297-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 S GREEN RD",
"address_2": "004",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441214128",
"telephone_number": "216-297-2061",
"fax_number": "216-297-2034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID M. BURKONS, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-18",
"last_updated": "2010-01-14",
"status": "A",
"authorized_official_last_name": "BURKONS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-297-2061",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OH",
"license": "35040676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0377784",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.