Individual
P. ROMAN BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1818 S 10TH AVE, SUITE 250, CALDWELL, ID 83605-4803
(208) 459-0891
(208) 459-8628
Mailing address
1818 S 10TH AVE, SUITE 250, CALDWELL, ID 83605-4803
(208) 459-0891
(208) 459-8628
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
41000197
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P-197
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010167550
REGENCE BLUE SHIELD
ID
01
—
6701670001
MEDICARE DME PTAN
ID
05
—
8080019
—
ID
01
—
P2447
BLUE CROSS
ID
Enumeration date
04/23/2007
Last updated
12/13/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us