Active NPI
James Burkett, PA-C
- Physician Assistant
- Mesa, AZ
National Provider Identifier
1801807334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5034
- Practice address
- 5850 E Still Cir
Dpas
Mesa, AZ 85206-3618 - Phone
- (480) 265-8033
- Fax
- (480) 219-6100
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA000767L | PA | |
| Physician Assistant | 363A00000X | 5034 | AZ | Primary |
Addresses
Primary practice location
5850 E Still Cir
Dpas
Mesa, AZ 85206-3618
Mailing address
5850 E Still Cir
Dpas
Mesa, AZ 85206-3618
Phone (480) 265-8033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5034 | AZ | MD | Occupational Therapist |
| MA000767L | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1801807334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 E STILL CIR",
"address_2": "DPAS",
"city": "MESA",
"state": "AZ",
"postal_code": "852063618",
"telephone_number": "480-265-8033",
"fax_number": "480-219-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 E STILL CIR",
"address_2": "DPAS",
"city": "MESA",
"state": "AZ",
"postal_code": "852063618",
"telephone_number": "480-265-8033",
"fax_number": "480-219-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKETT",
"first_name": "JAMES",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA000767L",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "5034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.