Douglas Matthew Burks, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME0045186 Issued in FL

Practice address

13055 Summerfield Square Dr
Riverview, FL 33578-7402

Phone

(813) 741-2473

Fax

(813) 672-6197

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Matthew Burks Other name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Summerfield Medical Clinic MD PA

  • Multi-Specialty Clinic/Center
  • Riverview, FL
  • NPI 1568780492
  Medicare reassignment NPD
• Michael W. Kemplin, MD, PA

  • Specialist
  • Sarasota, FL
  • NPI 1235184631
  NPD (past)
• Spartan Anesthesia Associates PA

  • Anesthesiology Physician
  • Sarasota, FL
  • NPI 1710975636
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1477613420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 SHIRE ST",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342751601",
            "telephone_number": "941-232-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 SUMMERFIELD SQUARE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787402",
            "telephone_number": "813-741-2473",
            "fax_number": "813-672-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "DOUGLAS",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME0045186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "BURKS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiffany Bui, DMD
• Kyle Bumpers, DPT.
• Jewell Burgess, RN
• Kayla Louise Burgess
• Isabella Burgos
• Ma Socorro Magistrado Burn
• Brittany Burns
• Sherry D. Burris
• Ashley Burton, MS, RD, LDN
• Natalie Carr Bustillo, DDS, MS

• Anesthesiology Physician in Riverview, FL
• Providers in Riverview, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.

Verify at the official NPI Registry.