James Booth Burke is a Surgery in Shreveport, Louisiana. James Booth Burke practices all healthcare services and medical treatments related to Surgery. The NPI Number for James Booth Burke is 1053315903. The last update date is 2021-06-21.
James Booth Burke's current location address is 1202 Louisiana Avenue, Shreveport, Louisiana. You can contact this provider via phone number 3182128780 and fax number 3182126752. The mailing address for James Booth Burke is 1202 Louisiana Avenue, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Booth Burke |
|---|---|
| Address | 1202 Louisiana Avenue, Shreveport, Louisiana |
| Phone Number | 3182128780 |
| Fax Number | 3182126752 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053315903 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2021-06-21 |
Provider Mailing Address Detail
| Address | 1202 Louisiana Avenue |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 7110139100 |
| Phone Number | 3182128780 |
| Fax Number | 3182126752 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 10891R |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1493899 | LA | -- | |
| 60852301 | TX | TEXAS MEDICAID NUMBER | |
| 20045711 | LA | RR MEDICARE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to James Booth Burke by the Centers for Medicare & Medicaid Services?
The James Booth Burke has been issued the NPI (National Provider Identifier) 1053315903, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where James Booth Burke's facilities are situated?
The facilities of James Booth Burke are physically located at the following address: 1202 Louisiana Avenue, Shreveport, LA, 7110139100.
What is James Booth Burke's specialized field of practice, and what is the corresponding taxonomy classification code?
The James Booth Burke's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
When did the James Booth Burke receive its 1053315903?
The James Booth Burke was issued its 1053315903 on 2005-06-09, which is the date when the organization was assigned this unique identifier.
When was the James Booth Burke's information last updated?
The James Booth Burke's information was last updated on 2021-06-21.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT