NPIMap

Organization Active NPI

Burke Family Practice P.C.

  • Family Medicine Physician
  • Burke, VA
National Provider Identifier
1487765830
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BURKE FAMILY PRACTICE P.C.
Practice address
9409 Old Burke Lake Rd # B
Burke, VA 22015-3127
Phone
(703) 978-4200
Fax
(703) 503-8263
NPI assigned
Aug 31, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jan Twomey
Title
Practice Manager
Phone
(703) 978-4200

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0221659Burke Family Practice9409B Old Burke Lake Rd, Burke, VA 22015Provider-performed microscopyMay 10, 2027

National Provider Directory

National Provider Directory

Locations

5275 Langston Blvd
Ste G1
Arlington, VA 22207

9409 Old Burke Lake Rd
#B
Burke, VA 22015
Phone (703) 978-4200

3903 Fair Ridge Dr
Ste Q
Fairfax, VA 22033
Phone (703) 454-5132

9401 Route 29
Ste 400
Fairfax, VA 22031

510 W Annandale Rd
Ste 100
Falls Church, VA 22046

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

9409 Old Burke Lake Rd # B
Burke, VA 22015-3127

Mailing address

9409 Old Burke Lake Rd # B
Burke, VA 22015-3127
Phone (703) 978-4200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 3, 2010.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1487765830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9409 OLD BURKE LAKE RD # B",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153127",
            "telephone_number": "703-978-4200",
            "fax_number": "703-503-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 OLD BURKE LAKE RD # B",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153127",
            "telephone_number": "703-978-4200",
            "fax_number": "703-503-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE FAMILY PRACTICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "TWOMEY",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "703-978-4200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.