MARY JOAN BURGESS (NPI# 1407011968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407011968 |
| Entity Type | Individual |
| Full Name | MARY JOAN BURGESS |
| Credential | MD |
| Practice Address |
4301 W Markham St # 783 Little Rock AR 72205-7101 |
| Practice Telephone | 5016868000 |
| Practice Fax Number | 5015265148 |
| Mailing Telephone | 5016868000 |
| Mailing Fax Number | 5015265148 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | E-8677 | AR | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
E-8677 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RAILROAD MEDICARE | P00970254 | 01 |
| AR | 204615001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366969602 | Mary Elizabeth Burgess | Speech-Language Pathologist | 292 S Pine St Ste B, Spartanburg, SC 29302-2673 | 2017-08-28 |
| 1598884173 | Mary P Burgess | Massage Therapist | 176 154th Pl Ne, Bellevue, WA 98007-5026 | 2007-03-28 |
| 1861519787 | Mary Simmons Burgess | Family Medicine | 1170 Cypress Glen Cir, Kissimmee, FL 34741-7560 | 2007-03-24 |
| 1194868844 | Mary C Burgess | Midwife | 3039 Peabody St, Bellingham, WA 98225-1740 | 2007-02-14 |
| 1528549383 | Mary Burgess | Social Worker | 1221 W 5th St, Sheridan, WY 82801-2701 | 2018-08-28 |
| 1487109666 | Mary Burgess | Pharmacist | 200 E Broadway, Louisville, KY 40202-2008 | 2016-08-17 |
| 1417320409 | Mary Powell Burgess | Registered Nurse | 418 E Main St, Jefferson, NC 28640-8984 | 2015-11-12 |
| 1821244708 | Mary Elizabeth Burgess | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2008-08-12 |
| 1750418703 | Mary J Burgess | Registered Nurse | 2045 Franklin St, Denver, CO 80205-5437 | 2007-02-27 |
| Street Address |
4301 W MARKHAM ST # 783 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960194 | Dennis E Mcdonnell | Neurological Surgery | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2005-05-27 |
| 1255931226 | Satya Narayana Patro | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-10-29 |
| 1962019182 | Houston Cotton | Physician Assistant | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-30 |
| 1144836495 | Andrea Barnes | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-22 |
| 1053927012 | Abigail E Nichols | Advanced Practice Midwife | 4301 W Markham St # 783, Little Rock, AR 72205-7199 | 2020-09-16 |
| 1629682653 | Christina Mantione | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-08 |
| 1467065250 | Christina Louise Rone | Registered Nurse | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-31 |
| 1700499506 | Asjia Johnson | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-31 |
| 1982215968 | Brooke Kathlen Lea | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-12 |
| 1003424243 | Rachel Sloan | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487120135 | Zawada Infusion Center Pllc | Internal Medicine | 17200 Chenal Pkwy Ste 300-232, Little Rock, AR 72223-5958 | 2018-10-21 |
| 1326305590 | Katherine Mclean Ferren | Internal Medicine | 1 Saint Vincent Cir Ste 160, Little Rock, AR 72205-5406 | 2012-04-12 |
| 1649240912 | Nathaniel H Smith | Internal Medicine | 4815 W. Markham St., Slot 52, Little Rock, AR 72205-3867 | 2006-01-26 |
| 1922390889 | Ryan Keith Dare | Internal Medicine | 4301 W Markham St, Slot 639, Little Rock, AR 72205-7101 | 2011-05-11 |
| 1134363716 | Brandon Walser | Internal Medicine | 1 Saint Vincent Cir, Suite 160, Little Rock, AR 72205-5405 | 2009-04-27 |
| 1376744532 | Keyur Vyas | Internal Medicine | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2007-05-29 |
| 1255546776 | Jeremy Ryan Bariola | Internal Medicine | 4301 W Markham St, Slot 639, Little Rock, AR 72205-7101 | 2007-05-10 |
| 1295959450 | Naveen Patil | Internal Medicine | 4815 W Markham St, Little Rock, AR 72205-3866 | 2007-04-12 |
| 1386734861 | Robert Bradsher | Internal Medicine | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| 1912097494 | Thomas Phillip Monson | Internal Medicine | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.