Individual
CASEY JAMES BURKE
Active
Individual
CASEY JAMES BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS014855
PA
207XS0106X
Orthopaedic Hand Surgery Physician
044194
CT
207XS0106X
Orthopaedic Hand Surgery Physician
2014012292
MO
207XS0106X
Orthopaedic Hand Surgery Physician
5101014881
MI
207XS0106X
Orthopaedic Hand Surgery Physician
540
NE
207XS0106X
Orthopaedic Hand Surgery Physician
OS014855
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148380094
MEDICARE PTAN FOR FDC
MO
01
—
2014012292
MO LICENSE
MO
05
—
47070309913
—
NE
Enumeration date
10/05/2006
Last updated
11/16/2017
Update your record
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