DR. JOHN RUSSELL BURKS (NPI# 1477931863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477931863 |
| Entity Type | Individual |
| Full Name | DR. JOHN RUSSELL BURKS |
| Credential | M.D. |
| Practice Address |
4104 Richards Rd North Little Rock AR 72117-2652 |
| Mailing Address |
201 Executive Ct Ste A Little Rock AR 72205-4536 |
| Practice Telephone | 5012245658 |
| Practice Fax Number | 5012248114 |
| Mailing Telephone | 5012245658 |
| Mailing Fax Number | 5012248114 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | E12133 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OK | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 234553001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 920 Stanton L Young Blvd, Oklahoma City, OK 731045036 | 4052715963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164672259 | John Paul Burks | Massage Therapist | 151 Mary Esther Blvd, Ste 307a, Mary Esther, FL 32569-1972 | 2008-09-24 |
| 1841286879 | John M. Burks | Internal Medicine | 700 High St, Williamsport, PA 17701-3198 | 2005-09-26 |
| Street Address |
4104 RICHARDS RD |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942292669 | Reed W Kilgore | Orthopaedic Surgery | 4104 Richards Rd, North Little Rock, AR 72117-2652 | 2005-08-18 |
| 1316406945 | Tiffany V Brown | Optometrist | 4104 Richards Rd, North Little Rock, AR 72117-2652 | 2019-03-13 |
| 1588025191 | Little Rock Eye Clinic, LLP | Ophthalmology | 4104 Richards Rd, North Little Rock, AR 72117-2652 | 2016-03-09 |
| 1669562153 | Laurie Barber | Ophthalmology | 4104 Richards Rd, North Little Rock, AR 72117-2652 | 2006-10-13 |
| 1679514343 | Richard York Henry | Ophthalmology | 4104 Richards Rd, North Little Rock, AR 72117-2652 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336309657 | Billy Mitchell Chandler Sr. | Ophthalmology | 2916 Justin Matthews Dr, North Little Rock, AR 72116-8543 | 2008-06-10 |
| 1790956860 | Dr. Dennis L. Wingfield, Pa | Ophthalmology | 3807 Mccain Park Dr Ste 103, North Little Rock, AR 72116-7848 | 2008-03-17 |
| 1326001793 | Dennis Leo Wingfield | Ophthalmology | 3807 Mccain Park Drive, Suite 103, North Little Rock, AR 72116 | 2006-04-07 |
| 1588025191 | Little Rock Eye Clinic, LLP | Ophthalmology | 4104 Richards Rd, North Little Rock, AR 72117-2652 | 2016-03-09 |
| 1669562153 | Laurie Barber | Ophthalmology | 4104 Richards Rd, North Little Rock, AR 72117-2652 | 2006-10-13 |
| 1679514343 | Richard York Henry | Ophthalmology | 4104 Richards Rd, North Little Rock, AR 72117-2652 | 2006-06-10 |
| 1982657169 | Jan Wright Scruggs | Ophthalmology | 3401 Springhill Drive, Suite 250, North Little Rock, AR 72117-2926 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378004 | Vrf Eye Specialty Group, Plc | Ophthalmology | 1028 N Missouri St Ste 1, West Memphis, AR 72301-2600 | 2020-05-19 |
| 1215362397 | Lieblong Eye Center | Ophthalmology | 123 North Van Buren Street, Little Rock, AR 72205 | 2013-09-09 |
| 1417394404 | Hans Barron Heymann | Ophthalmology | 613 N Willow Ave, Fayetteville, AR 72701-3550 | 2013-05-30 |
| 1770821324 | Ernest Mitchell Singleton | Ophthalmology | 1793 E Manchester Dr, Fayetteville, AR 72703-6224 | 2013-01-16 |
| 1871810606 | Jennifer Ileen Doyle | Ophthalmology | 201 Executive Ct A, Little Rock, AR 72205-4536 | 2010-05-04 |
| 1265767990 | Magie Eye Clinic of Morrilton,pa | Ophthalmology | 810 E Harding St, Morrilton, AR 72110-2250 | 2009-10-14 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| 1427215623 | Justin Lieblong | Ophthalmology | 123 North Van Buren, Little Rock, AR 72205 | 2008-05-16 |
| 1093988404 | Retina Specialists of Arkansas, P.a. | Ophthalmology | 5 Saint Vincent Cir Ste 201, Little Rock, AR 72205-5416 | 2008-04-07 |
| 1518182526 | Jonathan Daniel Casciano | Ophthalmology | 5 Saint Vincent Cir Ste 200, Little Rock, AR 72205-5416 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
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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.