MR. MICHAEL BURKS NP NPI 1306274303

NPI Information

NPI: 1306274303
Provider Name: MR. MICHAEL BURKS, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
19 MYRTLE ST
MEDFORD, OR
ZIP 97504
Phone: (541) 773-3863
Get Directions

MR. Michael Burks, NP is a psychiatric/mental health nurse practitioner in Medford, OR. MR. Michael Burks, NP NPI is 1306274303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19 MYRTLE ST
MEDFORD, OR
ZIP 97504-337
Phone: (541) 773-3863
Fax: (541) 776-2892

The NPI 1306274303 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 10/29/2013 and was last updated on 7/29/2021.

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
1	363LF0000X	Nurse Practitioner	Family	23793	CALIFORNIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	201708072NP	OREGON	Yes

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

NPI Synchronization or Removal

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