Individual provider Active NPI

Jamie D. Burk, LSA

  • Surgical Assistant
  • Sugar Land, TX
National Provider Identifier
1841560091
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA00468
Practice address
1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540
Phone
(832) 655-4141
NPI assigned
Jan 5, 2012
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA00468 Primary

Addresses

Primary practice location

1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540

Mailing address

1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540
Phone (832) 655-4141

Other practice location 1

9800 Centre Pkwy
Suite 530
Houston, TX 77036-8271
Phone (713) 777-4539

Other identifiers 5

IdentifierTypeStateIssuer
8NB112OtherTXBCBS - BLUE STAR SURGICAL
8NP673OtherTXBCBS - XCITE SURGICAL
SA00468OtherTXTEXAS MEDICAL BOARD
8NA343OtherTXBCBS - UNIVERSAL SURGICAL PARTNERS
8NA342OtherTXBCBS - UNIVERSAL SURGICAL ASSISTANTS

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Surgical Ally Surgical CurrentSince Jul 24, 2022 Accepting new patients
Mary C Valentine Lsa Surgical Past Accepting new patients
Key Access Institute, LLC Surgical Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1841560091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK CENTER BLVD STE 618",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783540",
            "telephone_number": "832-655-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK CENTER BLVD STE 618",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783540",
            "telephone_number": "832-655-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9800 Centre Pkwy",
            "address_2": "Suite 530",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770368271",
            "country_code": "US",
            "telephone_number": "713-777-4539",
            "fax_number": "713-583-2061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURK",
        "first_name": "JAMIE",
        "middle_name": "D.",
        "credential": "LSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "SA00468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - BLUE STAR SURGICAL",
            "identifier": "8NB112",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - XCITE SURGICAL",
            "identifier": "8NP673",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "SA00468",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - UNIVERSAL SURGICAL PARTNERS",
            "identifier": "8NA343",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - UNIVERSAL SURGICAL ASSISTANTS",
            "identifier": "8NA342",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.