Larry Dale Burke, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD10602 Issued in TN

Practice address

6025 Walnut Grove Rd Ste 311
Memphis, TN 38120-2123

Phone

(901) 683-6166

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Thoracic and Cardiovascular Surgery Association

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Memphis, TN
  • NPI 1356453773
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1992813158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD STE 311",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202123",
            "telephone_number": "901-683-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD STE 311",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202123",
            "telephone_number": "901-683-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "LARRY",
        "middle_name": "DALE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "MD10602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura L Burgoyne, MD
• Ricky Burk, SLP
• Claire Kathleen Burke, LMSW
• Erin Burke, PPCNP-BC
• James H Burke, OD
• Martha Burke
• Catherine Crabtree Burkhart, PHARM D
• Jansen Burkley
• Joyce W Burkley, BA
• Meghan Vogt Burkley, M.D.

• Vascular Surgery Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Vascular Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.