DR. MARY JANELL BURCH M.D. NPI 1174593446

NPI Information

  • NPI: 1174593446
  • Provider Name: DR. MARY JANELL BURCH, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 W MCKENNON ST
    CLARKSVILLE, AR
    ZIP 72830
  • Phone: (479) 754-8384

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NPI Details

DR. Mary Janell Burch, M.D. is a family medicine in Clarksville, AR with 37 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mary Janell Burch, M.D. NPI is 1174593446. 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:1989

The provider's business location address is:

601 W MCKENNON ST
CLARKSVILLE, AR
ZIP 72830-523
Phone: (479) 754-8384
Fax: (479) 754-7141

The NPI 1174593446 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Hemoglobin a1c level (HCPCS:83036)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 1/26/2006 and was last updated on 6/26/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineC7669ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11670796OTHERARKANSASUNITED HEALTHCARE
20790780001OTHERARKANSASPALMETTO GBA
315356000000OTHERARKANSASQUALCHOICE
4XX12984OTHERARKANSASHEALTH PLUS OF MICHIGAN
5510436OTHERARKANSASHEALTH LINK
6020407900OTHERARKANSASBLACK LUNG PROGRAM
7080048089OTHERARKANSASRAILROAD MEDICARE/PALMETT
87345105OTHERARKANSASAETNA INSURANCE COMPANY
90062731OTHERARKANSASUMWA H&R FUNDS
10121519001MEDICAIDARKANSAS
1154227OTHERARKANSASBLUECROSSBLUESHIELD ARK

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: 11/21/2025

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