Michael P. Burk, D.P.M., PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001081 Issued in MI

Legal business name

MICHAEL P. BURK, D.P.M., PLLC

Practice address

39555 W 10 Mile Rd
Suite 307
Novi, MI 48375-2950

Phone

(248) 476-1500

Fax

(248) 476-0502

NPI assigned

May 17, 2007

Last updated

Mar 31, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Patrick Burk, D.P.M.NPI 1053348359

Title

Owner

Phone

(248) 476-1500

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Patrick Burk, D.P.M.

  • Podiatrist
  • Novi, MI
  • NPI 1053348359
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1972710945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39555 W 10 MILE RD",
            "address_2": "SUITE 307",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752950",
            "telephone_number": "248-476-1500",
            "fax_number": "248-476-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39555 W 10 MILE RD",
            "address_2": "SUITE 307",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752950",
            "telephone_number": "248-476-1500",
            "fax_number": "248-476-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P. BURK, D.P.M., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "BURK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-476-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4237912",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "480F340830",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480034200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4856351730",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mi Wellbeing LLC
• Ashley Micakovic
• Sara Micallef
• Michael a Roth MD PC
• Michael J. Jacobs, M. D. P.C.
• Michael R Cohen, DO, PLLC (Great Lakes Dermatology)
• Michael S Finn PC
• Nichole Michael
• Jenny R Michaels, MD MPH
• Kelsey Michals, PT, DPT

• Podiatrist in Novi, MI
• Providers in Novi, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.