Active NPI
George W Burke III, M.D.
- Pulmonary Disease Physician
- Richmond, VA
National Provider Identifier
1487670204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101020520
- Practice address
- 1603 Santa Rosa Rd
Suite 101
Richmond, VA 23229-5010 - Phone
- (804) 320-4243
- Fax
- (804) 622-0552
- NPI assigned
- Jul 14, 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 0101020520 | VA | Primary |
Addresses
Primary practice location
1603 Santa Rosa Rd
Suite 101
Richmond, VA 23229-5010
Mailing address
1000 Boulders Pkwy
Suite 102
Richmond, VA 23225-5545
Phone (804) 320-4243
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015974 | Other | VA | ANTHEM HEALTHKEEPERS |
| 59271 | Other | VA | SOUTHERN HEALTH |
| 006895400 | Other | VA | BLACK LUNG |
| 2060296 | Other | VA | AETNA HMO |
| 30638 | Other | VA | CARENET |
| 015974 | Other | VA | ANTHEM |
| 021781 | Other | VA | CIGNA |
| 4800154 | Other | VA | UNITED HEALTHCARE |
| 81752 | Other | VA | MAMSI |
| 006082122 | Medicaid | VA | |
| 110014425 | Other | VA | RAILROAD MEDICARE |
| 557515 | Other | VA | AETNA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101020520 | VA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1487670204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BOULDERS PKWY",
"address_2": "SUITE 102",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232255545",
"telephone_number": "804-320-4243",
"fax_number": "804-622-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 SANTA ROSA RD",
"address_2": "SUITE 101",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232295010",
"telephone_number": "804-320-4243",
"fax_number": "804-622-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "GEORGE",
"middle_name": "W",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101020520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTHKEEPERS",
"identifier": "015974",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "59271",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "006895400",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2060296",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARENET",
"identifier": "30638",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "015974",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "021781",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "4800154",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "81752",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006082122",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110014425",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "557515",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.