Individual provider Active NPI

Joseph Burke, PA-C

  • Medical Physician Assistant
  • Bradenton, FL
National Provider Identifier
1811539042
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9112652 Issued in FL
Practice address
6110 State Road 70 E
Bradenton, FL 34203-9712
Phone
(941) 755-4242
Fax
(941) 755-1906
NPI assigned
Oct 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9112652 FL Primary

Addresses

Primary practice location

6110 State Road 70 E
Bradenton, FL 34203-9712

Mailing address

1115 E Twiggs St Unit 1102
Tampa, FL 33602-3179
Phone (708) 476-1558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191203002481 FL Practitioner - Physician Assistant 3274966361 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Zephyrhills PAGroup PAC ID 6204924921, 51 clinicians

Practice addresses (Care Compare)

1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 844-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Florida Medical Specialists LLC Current Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Jan 1, 2021 Accepting new patients
Florida Medical Specialists, LLC CurrentSince Oct 28, 2019 Accepting new patients
Florida Medical Specialists LLC Past Accepting new patients

Locations

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • Direct secure messaging: jburke180505@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1811539042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E TWIGGS ST UNIT 1102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023179",
            "telephone_number": "708-476-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 STATE ROAD 70 E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039712",
            "telephone_number": "941-755-4242",
            "fax_number": "941-755-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9112652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.