Individual provider Active NPI

Brittany Burks

  • Medical Physician Assistant
  • Cambridge, OH
National Provider Identifier
1588032080
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.004436 Issued in OH
Practice address
1515 Maple Dr
Cambridge, OH 43725-1162
Phone
(740) 439-3515
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.004436 OH Primary

Addresses

Primary practice location

1515 Maple Dr
Cambridge, OH 43725-1162

Mailing address

4822 Grand Central Ave
Apt a
Vienna, WV 26105-1845
Phone (740) 541-0658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151020002409 OH Practitioner - Physician Assistant 7416266119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group of Southeastern Ohio Inc 61 clinicians

Practice addresses (Care Compare)

1515 Maple Dr
Cambridge, OH 43725-1162
Phone (740) 455-3304

3620 Court Dr
Suite K
Zanesville, OH 43701-6455
Phone (740) 454-1248

Hospital & facility affiliations

  • Southeastern Ohio Regional Medical Center Hospital, Cambridge, OH, CCN 360203
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Home Primary Care Center Current Accepting new patients

Locations

3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: brittany.burks.p1@direct.pgseo.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1588032080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 GRAND CENTRAL AVE",
            "address_2": "APT A",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051845",
            "telephone_number": "740-541-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MAPLE DR",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437251162",
            "telephone_number": "740-439-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.004436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.