Casey James Burke, D.O.
Individual provider Active NPI Orthopaedic Surgery Physician · Olyphant, PA
NPI 1790871085 · NPPES record last updated Nov 16, 2017
Key facts
- NPI
- 1790871085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- OS014855 (PA)
- Practice address
- 109 Terrace Dr
Olyphant, PA 18447-2501 - Phone
- (570) 483-4603
- Fax
- (570) 319-1250
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Hand Surgery
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hand Surgery Associates LLC
Practice addresses (Care Compare)
109 Terrace Dr
Olyphant, PA 18447-2501
109 Terrace Dr
Olyphant, PA 18447-2502
Phone (570) 877-2289
Hospital & facility affiliations
- Regional Hospital of Scranton
- Wayne Memorial Hospital
- Geisinger-Community Medical Center
- Allied Services Institute of Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090722000462 | PA | Practitioner - Hand Surgery | 2961503636 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044194 | CT | MD | Orthopaedic Hand Surgery Physician |
| 5101014881 | MI | MD | Orthopaedic Hand Surgery Physician |
| 2014012292 | MO | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Surgery Associates LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
109 Terrace Dr
Olyphant, PA 18447
Phone (570) 483-4603
241 Northern Blvd
South Abington Township, PA 18411
Phone (570) 586-5000
Interoperability endpoints
- casey.burke.1@9799.direct.athenahealth.com
- https://api.platform.athenahealth.com/9799/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 2014012292 | MO | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 5101014881 | MI | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 044194 | CT | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | OS014855 | PA | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 540 | NE | |
| Orthopaedic Surgery Physician | 207X00000X | OS014855 | PA | Yes |
Addresses
Primary practice location
109 Terrace Dr
Olyphant, PA 18447-2501
Mailing address
109 Terrace Dr
Olyphant, PA 18447-2501
Phone (570) 483-4603
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47070309913 | Medicaid | NE | |
| 2014012292 | Other | MO | MO LICENSE |
| 148380094 | Other | MO | MEDICARE PTAN FOR FDC |
Other providers in Olyphant, PA
- Jonathan T Blake
- Laura Booths
- Keith Brislin
- Jessica Marie Bullock
- Nastasha Elena Burdyn
- Monica Cantrell
- Mariel Gazmen Carino
- Center for Orthotic & Prosthetic Care of Scranton, LLC
- Erin Kathleen Cherkauskas
- Chiropractic Center of Natural Health Care, P.C.
All providers in Olyphant, PA · Orthopaedic Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.