DR. GRETCHEN SMITH BURKE M.D. NPI 1659307551

NPI Information

NPI: 1659307551
Provider Name: DR. GRETCHEN SMITH BURKE, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
353 ISLAND COTTAGE RD
ROCHESTER, NY
ZIP 14612
Phone: (585) 225-2610
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DR. Gretchen Smith Burke, M.D. is an adolescent medicine pediatrics in Rochester, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Gretchen Smith Burke, M.D. NPI is 1659307551. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

353 ISLAND COTTAGE RD
ROCHESTER, NY
ZIP 14612-349
Phone: (585) 225-2610
Fax: (585) 581-1396

The enumeration date for this NPI number is 6/23/2006 and was last updated on 10/13/2010.

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	2080A0000X	Pediatrics	Adolescent Medicine	192487	NEW YORK	Yes

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
1	5018472	OTHER	NEW YORK	AETNA
2	7702366	OTHER	NEW YORK	COMMERCIAL INSURANCES
3	P010192487	OTHER	NEW YORK	EXCELLUS BL CRSS BL SHLD
4	P010192487	OTHER	NEW YORK	EXCELLUS BLUE CHOICE
5	01685212	MEDICAID	NEW YORK

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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