Organization Active NPI

Mary C. Burke MD,PC

  • Obstetrics & Gynecology Physician
  • Klamath Falls, OR
National Provider Identifier
1609047240
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD22255 Issued in OR
Legal business name
MARY C. BURKE MD,PC
Practice address
2580 Daggett Ave
Klamath Falls, OR 97601-1127
Phone
(541) 884-6374
Fax
(541) 884-6731
NPI assigned
Mar 21, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Mary C Burke, MD
Title
Doctor/Provider
Phone
(541) 884-6374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD22255 OR Primary

Addresses

Primary practice location

2580 Daggett Ave
Klamath Falls, OR 97601-1127

Mailing address

2580 Daggett Ave
Klamath Falls, OR 97601-1127
Phone (541) 884-6374

Other identifiers 1

IdentifierTypeStateIssuer
DB8021OtherORRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2580 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 884-1224

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1609047240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011127",
            "telephone_number": "541-884-6374",
            "fax_number": "541-884-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011127",
            "telephone_number": "541-884-6374",
            "fax_number": "541-884-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY C. BURKE MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR/PROVIDER",
        "authorized_official_telephone_number": "541-884-6374",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD22255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB8021",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.