DR. DAVID LAVERNE BURKEBILE (NPI# 1912065889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912065889 |
| Entity Type | Individual |
| Full Name | DR. DAVID LAVERNE BURKEBILE |
| Credential | MD |
| Practice Address |
601 S Carr Rd Suite 420 Renton WA 98055-5866 |
| Mailing Address |
2539 Burnett Ct S Renton WA 98055-5029 |
| Practice Telephone | 2537351111 |
| Mailing Telephone | 2063009021 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
MD00010841 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
601 S CARR RD SUITE 420 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295732113 | Sonja Maddox | Family Medicine | 601 S Carr Rd, Suite 100, Renton, WA 98055-5866 | 2005-07-07 |
| 1558768739 | Wong Hsu On Su & Liao Dds Pllc | Dentist | 601 S Carr Rd, Suite 400, Renton, WA 98055-5866 | 2014-12-03 |
| 1073860854 | Michael C Johnson | Dentist | 601 S Carr Rd, Suite 300, Renton, WA 98055-5866 | 2012-08-10 |
| 1215206586 | Laboratory Corporation of America | Clinical Medical Laboratory | 601 S Carr Rd, Renton, WA 98055-5866 | 2011-12-15 |
| 1144519539 | Maureen Burns | Physical Therapy Assistant | 601 S Carr Rd, Renton, WA 98055-5866 | 2011-04-06 |
| 1073821286 | Benjamin Reed Johnson | Dentist | 601 S Carr Rd, Suite 300, Renton, WA 98055-5866 | 2010-09-22 |
| 1033232095 | Arkadiy B. Tkachev | Family Medicine | 601 S Carr Rd, Suite 100, Renton, WA 98055-5866 | 2007-04-06 |
| 1710022314 | Dynacare Northwest | Clinical Medical Laboratory | 601 S Carr Rd, Suite 110, Renton, WA 98055-5866 | 2007-02-21 |
| 1598830010 | Stuart Allen Vendeland | Dentist | 601 S Carr Rd, Suite 400, Renton, WA 98055-5866 | 2006-11-21 |
| 1316036502 | Lan Alice Chen | Dentist | 601 S Carr Rd, Suite 400, Renton, WA 98055-5866 | 2006-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533838 | Lilliam A Sierra | Pediatrics | 7301 W Deschutes Ave, Suite A, Kennewick, WA 99336-7757 | 2005-07-26 |
| 1215460860 | Kira Belzer | Pediatrics | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2017-04-10 |
| 1568880276 | Angela J Armen | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-03-31 |
| 1700103462 | Providence Physician Services Co | Pediatrics | 101 W 8th Ave, Ste 4200, Spokane, WA 99204-2307 | 2010-04-21 |
| 1790910701 | Lisa Diane Herzig | Pediatrics | 4800 Sand Point Way Ne, M/s Oc.9.840, Seattle, WA 98105-3901 | 2009-05-19 |
| 1710135926 | Emily Myers | Pediatrics | 4800 Sand Point Way Ne, Oc.9.840, Seattle, WA 98105-3901 | 2008-08-29 |
| 1093931339 | Sterling K Clarren | Pediatrics | 2142 10th Ave W, Seattle Children's Home, Seattle, WA 98119-2845 | 2007-04-17 |
| 1073646469 | Natasha Hays | Pediatrics | 677 Woodland Square Loop Se, Lacey, WA 98503-1000 | 2007-03-14 |
| 1205972791 | Deanna Sue Livingstone | Pediatrics | 9040 Reid Street, A, Tacoma, WA 98431-1100 | 2007-01-30 |
| 1922167220 | Theodore Dungan Mandelkorn | Pediatrics | 2553 76th Ave Se, Mercer Island, WA 98040-2758 | 2006-12-06 |
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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.