Denise a. Burke M.D. P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD17669 Issued in OR

Legal business name

DENISE A. BURKE M.D. P.C.

Practice address

749 Golf View Dr
Suite a
Medford, OR 97504-9654

Phone

(541) 779-4575

NPI assigned

Sep 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Denise Ann Burke, M.D.

Title

President

Phone

(541) 779-4575

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1191110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258243200000",
    "number": "1588851901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 GOLF VIEW DR",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049654",
            "telephone_number": "541-779-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 GOLF VIEW DR",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049654",
            "telephone_number": "541-779-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE A. BURKE M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-30",
        "last_updated": "2009-11-15",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-779-4575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD17669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "R0000BLCGB",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073486",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Grace Demian, M.D.
• Debra Dempsey
• Jackson T Dempsey, MD
• Patrick J Denard, MD
• Shantell E Dendauw, RDH
• Lisa Mae Denison
• Spencer Lee Deniston
• Anne Heubach Dennehy, DDS
• Ellen Denninger, MA
• Belinda Ann Denny, LMT

• Dermatology Physician in Medford, OR
• Providers in Medford, OR by specialty
• Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.