Active NPI
Thomas E Burkert, RPAC
- Physician Assistant
- Auburn, NY
National Provider Identifier
1801995618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002021
- Practice address
- 77 Nelson Street, Suite 320
Amms, PC
Auburn, NY 13021 - Phone
- (315) 567-0455
- Fax
- (315) 253-1795
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002021 | NY | Primary |
Addresses
Primary practice location
77 Nelson Street, Suite 320
Amms, PC
Auburn, NY 13021
Mailing address
571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03572589 | Medicaid | NV |
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 |
|---|---|---|---|
| 002021 | NY | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Valley Hospital, Inc | Past | Accepting new patients | |
| Wellnow Urgent Care, PC | Past | Accepting new patients | |
| Delaware Valley Hospital, Inc | Past | Accepting new patients | |
| Ny Urgent Care Practice, P.C. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Critical Access Hospital Clinic/Center
- Walton, NY
- NPI 1144312646
-
- Critical Access Hospital Clinic/Center
- Walton, NY
- NPI 1801132923
-
dba Five Star Urgent Care Big Flats
- Urgent Care Clinic/Center
- Elmira, NY
- NPI 1962770016
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1720445067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1801995618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 SAINT JOSEPHS BLVD FL 2",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013230",
"telephone_number": "607-271-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 NELSON STREET, SUITE 320",
"address_2": "AMMS, PC",
"city": "AUBURN",
"state": "NY",
"postal_code": "13021",
"telephone_number": "315-567-0455",
"fax_number": "315-253-1795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKERT",
"first_name": "THOMAS",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "RPAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "002021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03572589",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.