NPIMap

Organization Active NPI

P. Roman Burk DPM, PC

Doing business as Foot & Ankle Medical Center

  • Non-Pharmacy Dispensing Site
  • Caldwell, ID
National Provider Identifier
1598035917
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
P. ROMAN BURK DPM, PC
Doing business as
Foot & Ankle Medical Center
Practice address
1818 S 10TH Ave
Suite 250
Caldwell, ID 83605-4803
Phone
(208) 459-0891
NPI assigned
Jan 2, 2012
Last updated
Apr 26, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
P. ROMAN BURK DPM, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Philip Burk, DPM
Title
Owner
Phone
(208) 459-0891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1818 S 10TH Ave
Suite 250
Caldwell, ID 83605-4803

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

Other names 1

  • Foot & Ankle Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
P Roman Burk DPM PC4 organizations share this tax ID, including this one
Part of
P Roman Burk DPM PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1598035917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S 10TH AVE",
            "address_2": "SUITE 250",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054803",
            "telephone_number": "208-459-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. ROMAN BURK DPM, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "P. ROMAN BURK DPM, PC",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "BURK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-459-0891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot & Ankle Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.