DR. MARY HAGAN BURKE (NPI# 1417166000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417166000 |
Entity Type | Individual |
Full Name | DR. MARY HAGAN BURKE |
Credential | DDS |
Practice Address |
5600 Oakland Ave Dental Hygiene St Louis Community College-forest Park Saint Louis MO 63110-1393 |
Mailing Address |
918 Woodleigh Ct Saint Louis MO 63122-4805 |
Practice Telephone | 3146449630 |
Practice Fax Number | 3149519490 |
Mailing Telephone | 3148212588 |
Mailing Fax Number | 3148212903 |
Enumeration Date | 2007-05-21 |
Last Update Date | 2008-05-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
012706 | MO | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861984403 | Mary Kathleen Burke | Behavior Technician | 2044 Nu Pl, Honolulu, HI 96817-2235 | 2018-05-30 |
1821402694 | Mary Mcdonagh Burke | Pediatrics | 42 Tokalon Pl, Metairie, LA 70001-3020 | 2014-06-19 |
1609291004 | Mary Catherine Burke | Psychologist | 1900 Murray Ave Ste 206, Pittsburgh, PA 15217-1657 | 2014-02-22 |
1699114645 | Mary Elizabeth Burke | Social Worker | 417 Liberty St Ste 2, Springfield, MA 01104-3766 | 2013-06-21 |
1154675197 | Mary E Burke | Social Worker | 36 N Shore Rd, Denville, NJ 07834-1559 | 2012-10-30 |
1487923447 | Mary Burke | Registered Nurse | 2694 Oak Knoll Dr, Jackson, WI 53037-9013 | 2011-12-21 |
1124359567 | Mary Elizabeth Burke | Massage Therapist | 1320 W Barrett St, Seattle, WA 98119-2038 | 2010-01-25 |
1780839142 | Mary Burke | Physical Therapist | 3 Alston Pl, Douglaston, NY 11363-1203 | 2008-11-25 |
1942304084 | Mary G Burke | Psychiatry & Neurology | 1350 South Eliseo Drive, Suite 220, Greenbrae, CA 94904 | 2006-09-11 |
1336112952 | Mary K Burke | Nurse Practitioner | 95 N Moorland Rd, Brookfield, WI 53005-6020 | 2006-02-13 |
Street Address |
5600 OAKLAND AVE DENTAL HYGIENE ST LOUIS COMMUNITY COLLEGE-FOREST PARK |
City | SAINT LOUIS |
State | MO |
Zip Code | 63110-1393 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235168550 | Susan Martin | Specialist/Technologist | 5600 Oakland Ave, Saint Louis, MO 63110-1316 | 2006-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
Find all providers in zip 63110 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598988909 | Matthew Shelby Slaven | Dentist | 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014 | 2007-04-11 |
1093737264 | William Cohen | Dentist | 777 S New Ballas Rd Ste 217w, Saint Louis, MO 63141-8717 | 2006-07-24 |
1912528548 | Parth Mangrola | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-05-05 |
1871756130 | David Douglas Miley | Dentist | 1034 S Brentwood Blvd, Suite 740, Saint Louis, MO 63117-1223 | 2008-07-08 |
1124212790 | Periodontics Ltd | Dentist | 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014 | 2007-08-28 |
1164623963 | William B Albair | Dentist | 3555 Sunset Office Dr, Suite C-105, Saint Louis, MO 63127-1015 | 2007-05-30 |
1003021833 | Raphael Ivan Williams | Dentist | 8515 Delmar Blvd, 217, Saint Louis, MO 63124-2168 | 2007-05-14 |
1720290372 | Deshmukh Dds, PC | Dentist | 1034 S Brentwood Blvd, Suite #740, Saint Louis, MO 63117-1223 | 2007-05-04 |
1174746564 | George V Duello | Dentist | 3555 Sunset Office Dr, Suite C105, Saint Louis, MO 63127-1015 | 2007-04-11 |
1861523581 | Marwan Assaf | Dentist | 11709 Old Ballas Rd, Suite 206, Saint Louis, MO 63141-7029 | 2007-03-07 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63110 |
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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.