Jo Anne Burkhalter, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

18436 Issued in IA

Practice address

300 Sioux Valley Drive
True Medical Building
Cherokee, IA 51012

Phone

(712) 225-0707

Fax

(712) 225-3232

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jo.anne.burkhalter@avera.sdhealthlink.net

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699828962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 560TH STREET",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510127236",
            "telephone_number": "712-225-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SIOUX VALLEY DRIVE",
            "address_2": "TRUE MEDICAL BUILDING",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "51012",
            "telephone_number": "712-225-0707",
            "fax_number": "712-225-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHALTER",
        "first_name": "JO",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "18436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185223",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Edwin Barry
• Mary Anne Baughman, PA-C
• Jacey D. Benson, PMHNP-BC
• Mary Sue Benson, ARNP
• Peggy Ann Bierman Hinkhouse, LHIS
• Care Initiatives (Cherokee Specialty Care)
• Careage Hills
• Careage Home Care LLC
• Careage Management LLC (Careage Hills)
• Samantha Carpenter, FNP-C

• Dermatology Physician in Cherokee, IA
• Providers in Cherokee, IA by specialty
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.