William Edward Burak, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD007545E Issued in PA

Practice address

131 Ondish Rd
Shavertown, PA 18708-9416

Phone

(570) 696-2060

NPI assigned

Sep 6, 2011

Last updated

Sep 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Urology Associates of Kingston

  • Urology Physician
  • Plains, PA
  • NPI 1366533598
  NPD (past)

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1679854541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ONDISH RD",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089416",
            "telephone_number": "570-696-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ONDISH RD",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089416",
            "telephone_number": "570-696-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURAK",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD007545E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Boonin, MD
• Ronald Eugene Bost, M.D.
• Charles T Brand, DMD
• Brighter Visions Counseling
• Michael Vito Brown, M.D.
• Courtney Burgess-Michak, NCC, LPC
• Cam Consulting, LLC (CAM Medical)
• John Rexford Campbell, ATP, RET
• Devin Carey, M.D.
• John L Carey, MD

• Urology Physician in Shavertown, PA
• Providers in Shavertown, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.