Phillip Neil Burk
Podiatrist

Address: 203 12th Ave Rd, Suite A, Nampa, ID 83686-5012
Phone: 2084663338

Phillip Neil Burk (NPI# 1699763540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1699763540
Entity Type Individual
Full Name Phillip Neil Burk
Credential D.P.M.
Gender Male
Practice Address 203 12th Ave Rd
Suite A
Nampa
ID 83686-5012
Practice Telephone 2084663338
Practice Fax Number 2084663554
Mailing Address 2000 County Line Rd
Emmett
ID 83617-9721
Mailing Telephone 2082783031
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-10-13
Last Update Date 2008-12-05

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers P-99 ID
No 213ES0131X Podiatrist · Foot Surgery Podiatric Medicine & Surgery Service Providers P-99 ID

Other Provider Identifier

State Identifier Issuer Type Code
ID 000010015689 OTHER REGENCE BLUE SHIELD
ID 001519600 MEDICAID
ID P2446 OTHER BLUE CROSS OF IDAHO
ID P2446 OTHER BLUE CROSS
ID 480033019 OTHER RAILROAD MEDICARE

Other Providers PHILLIP BURK

NPI Name Taxonomy Address Enumeration
1245254473 Phillip S Burk Family Medicine 405 W Stanley St, Granite Falls, WA 98252-8631 2006-07-27

Physician Overview

NPI 1699763540
PAC ID by PECOS 2062590482
Professional Enrollment ID I20080424000481
Full Name Phillip N Burk
Organization Legal Name FOOT AND ANKLE MEDICAL CENTER OF NAMPA, P.A.
Phone Number 2084663338
Gender M
Graduation Year 1980
Primary Specialty PODIATRY
Group Practice PAC ID 3870671209
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Office Location

Street Address 203 12TH AVE RD
SUITE A
City NAMPA
State ID
Zip Code 83686-5012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235575044 Troy W. Fowler Podiatrist 203 12th Ave Rd, Nampa, ID 83686-5012 2013-05-20
1518225929 Clark A Johnson Podiatrist 203 12th Ave Rd, Nampa, ID 83686 2012-04-24
1316236797 Trever J. Martin Podiatrist 203 12th Ave Rd, Nampa, ID 83686-5012 2011-04-06
1033235783 Foot & Ankle Medical Center of Nampa, P.a. Durable Medical Equipment & Medical Supplies 203 12th Ave Rd, Suite A, Nampa, ID 83686-5012 2007-03-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518448703 Michel Cox Pharmacy Technician 2219 12th Ave S, Nampa, ID 83686 2018-08-24
1437504909 5 Peppers Inc Family Medicine 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 2016-05-03
1811369549 Anna Stoia Specialist/Technologist, Other 4401 E. Tuscany Ave., Nampa, ID 83686 2015-10-21
1144699307 Jamie Green Social Worker 112 12th Avenue Rd., Nampa, ID 83686 2015-09-17
1285037093 Rosemary Phelps Registered Nurse 353 W. Iowa, Nampa, ID 83686 2014-10-07
1336557206 Paul Wesley Sartin Physical Therapist 304 12th Ave Rd, Nampa, ID 83686 2014-07-23
1942630041 Amy Cristina Kappel Counselor 3050 12th Ave Rd, Nampa, ID 83686 2013-11-26
1598192676 Louie Ward Beech Physician Assistant 1510 12th Ave, Ste 200, Nampa, ID 83686 2013-10-03
1437498235 George Turgoose Pharmacist 2219 12th Avenue, Nampa, ID 83686 2013-02-14
1134473028 Paola F Lamberti Social Worker 824 South Diamond St., Nampa, ID 83686 2012-10-31
Find all providers in zip 83686

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235575044 Troy W. Fowler Podiatrist 203 12th Ave Rd, Nampa, ID 83686-5012 2013-05-20
1588780449 State of Idaho Podiatrist 1660 11th Ave N, Nampa, ID 83687-5000 2007-03-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326496910 Advanced Foot & Ankle of Magic Valley, Pllc Podiatrist 176 Falls Ave Ste 200, Twin Falls, ID 83301-2306 2016-05-25
1609085455 Craig D Holman Chartered Podiatrist 496 Shoup Ave W # B, Twin Falls, ID 83301-5043 2007-05-21
1669516738 Valley Foot & Ankle, PC Podiatrist 1455 Bench Rd Ste B, Pocatello, ID 83201-5084 2007-02-20
1629111497 Michael K. James Podiatrist 3345 S Holmes Ave, Idaho Falls, ID 83404-7981 2007-02-14
1790864619 Valley Foot & Ankle, PC Podiatrist 1455 Bench Rd, Suite B, Pocatello, ID 83201 2006-11-02
1629185426 Ronald Ray Vogel Podiatrist 12717 N Avondale Loop, Hayden, ID 83835-7531 2006-08-25
1790792216 Charles Frank Call IIi Podiatrist 718 Beulahs Ln, Idaho Falls, ID 83401-2340 2006-08-01
1063426948 William Scott Stano Podiatrist 220 W Jefferson St, Boise, ID 83702-6044 2006-07-28
1760403364 Cory A Pilling Podiatrist 676 Shoup Ave W Ste 12, Twin Falls, ID 83301-4615 2006-07-21
1487688990 Brent Christensen Podiatrist 1777 E Clark St, Suite 220, Pocatello, ID 83201-3357 2006-07-10
Find all providers with the same taxonomy

Competitor

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City NAMPA
Zip Code 83686

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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