DEREK BURKUM (NPI# 1760671200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760671200 |
| Entity Type | Individual |
| Full Name | DEREK BURKUM |
| Credential | PA |
| Practice Address |
3929 E Bell Rd Phoenix AZ 85032-2112 |
| Mailing Address |
3807 N 87th St Scottsdale AZ 85251-5032 |
| Practice Telephone | 6029235622 |
| Mailing Telephone | 6025318001 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2017-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4501 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9104392 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3929 E BELL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326022732 | Vhs Acquisition Subsidiary Number 1 Inc | General Acute Care Hospital | 3929 E Bell Rd, Phoenix, AZ 85032-2112 | 2005-11-30 |
| 1841814787 | Summit Anesthesia Solutions Pllc | Anesthesiology | 3929 E Bell Rd, Phoenix, AZ 85032-2112 | 2020-06-06 |
| 1295360667 | Dana Lyn Michaels | Specialist/Technologist, Other | 3929 E Bell Rd, Phoenix, AZ 85032-2112 | 2020-03-06 |
| 1568005221 | Summit Anesthesia Partners Pllc | Anesthesiology | 3929 E Bell Rd, Phoenix, AZ 85032-2112 | 2019-10-24 |
| 1952955635 | Sarah A Martin | Registered Nurse | 3929 E Bell Rd, Phoenix, AZ 85032-2112 | 2019-07-30 |
| 1235783317 | Jason T Lang | Registered Nurse | 3929 E Bell Rd, Phoenix, AZ 85032-2112 | 2019-07-28 |
| 1598222812 | Summit Anesthesia Pain Services Pllc | Anesthesiology | 3929 E Bell Rd, Phoenix, AZ 85032-2112 | 2019-02-22 |
| 1659850766 | Hospitalist Medicine Physicians of Arizona - Phoenix II | Internal Medicine | 3929 E Bell Rd, Phoenix, AZ 85032-2112 | 2018-08-09 |
| 1821589144 | Summit Anesthesia Services Pllc | Anesthesiology | 3929 E Bell Rd, Phoenix, AZ 85032 | 2018-05-22 |
| 1184158222 | Omar Mahfouz | Family Medicine | 3929 E Bell Rd, Phoenix, AZ 85032-2112 | 2017-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
| 1972100949 | Amanda Alcantar | Physician Assistant | 8822 W Minnezona Ave, Phoenix, AZ 85037-1499 | 2020-10-02 |
| 1700483898 | Athena Marie Arbuckle | Physician Assistant | 3815 E Bell Rd Ste 3600, Phoenix, AZ 85032-2166 | 2020-10-02 |
| 1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
| 1841801768 | Pfai Assist, Pllc | Physician Assistant | 10645 N Tatum Blvd Ste 200-556, Phoenix, AZ 85028-3068 | 2020-08-13 |
| 1285242479 | Jacob Molina | Physician Assistant | 15820 N 21st Dr, Phoenix, AZ 85023-7268 | 2020-07-14 |
| 1649898602 | Rivi Rose Sacks | Physician Assistant | 776 E Circle Rd, Phoenix, AZ 85020-4142 | 2020-07-07 |
| 1942828876 | Taylor Leblanc | Physician Assistant | 2150 W Alameda Rd Unit 1343, Phoenix, AZ 85085-1941 | 2020-07-07 |
| 1730707746 | Emily Jane Foley | Physician Assistant | 4650 N Central Ave Unit 241, Phoenix, AZ 85012-1076 | 2020-07-07 |
| 1841815230 | Alyssa Nicole Bruns | Physician Assistant | 4217 E Altadena Ave, Phoenix, AZ 85028-2232 | 2020-06-10 |
| Find all providers in PHOENIX | ||||
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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.