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MARY JOAN BURGESS MD NPI 1407011968


NPI Information

NPI: 1407011968
Provider Name: MARY JOAN BURGESS, MD
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

PECOS Registration: Yes

Address:
4301 W MARKHAM ST # 783
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 686-8000
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Mary Joan Burgess, MD is an infectious disease internal medicine in Little Rock, AR with 16 years of experience. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. Mary Joan Burgess, MD NPI is 1407011968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

4301 W MARKHAM ST # 783
LITTLE ROCK, AR
ZIP 72205-101
Phone: (501) 686-8000
Fax: (501) 526-5148

The NPI 1407011968 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2008 and was last updated on 8/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineE-8677ARKANSASNo
2207RI0200XInternal MedicineInfectious DiseaseE-8677ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00970254OTHERMINNESOTARAILROAD MEDICARE
2204615001MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.