Active NPI
Petros Sarke, RN
- Registered Nurse
- Kalamazoo, MI
National Provider Identifier
1891228896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704315403
- Practice address
- 610 S Burdick St
Kalamazoo, MI 49007-5221 - Phone
- (269) 381-3700
- Fax
- (269) 381-3810
- NPI assigned
- Apr 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704315403 | MI | Primary |
Addresses
Primary practice location
610 S Burdick St
Kalamazoo, MI 49007-5221
Mailing address
610 S Burdick St
Kalamazoo, MI 49007-5221
Phone (269) 381-3700
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704315403 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1891228896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 S BURDICK ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075221",
"telephone_number": "269-381-3700",
"fax_number": "269-381-3810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S BURDICK ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075221",
"telephone_number": "269-381-3700",
"fax_number": "269-381-3810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARKE",
"first_name": "PETROS",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-06",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704315403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.