BURKE HENDRICKS (NPI# 1972031367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972031367 |
| Entity Type | Individual |
| Full Name | BURKE HENDRICKS |
| Credential | DO |
| Practice Address |
3401 West Gore Boulevard Lawton OH 73505 |
| Practice Telephone | 2082069486 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2019-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 6415 | OK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3401 WEST GORE BOULEVARD |
| City | LAWTON |
| State | OH |
| Zip Code | 73505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| 1518343201 | Lasonia Rogers | Counselor | 2513 Nw 38th Pl, Lawton, OK 73505 | 2015-08-04 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033517248 | Medexpress Urgent Care, PC - Oklahoma | Emergency Medicine | 3428 Nw Cache Road, Lawton, OK 73505-3846 | 2014-12-22 |
| 1013323815 | Daniel Dorton | Emergency Medicine | 3401 W Gore Blvd # W, Lawton, OK 73505-6332 | 2014-07-01 |
| 1144635392 | Ryan Dale Ford | Emergency Medicine | 4510 Sw Wendy Dr, Lawton, OK 73505-8027 | 2014-06-26 |
| 1801090329 | Wanda I. Diaz | Emergency Medicine | 1902 E Gore Blvd, Lawton, OK 73501-6102 | 2007-06-11 |
| 1104833201 | Manuel Delarosa | Emergency Medicine | 20 Nw 67th St, Suite E, Lawton, OK 73505-5630 | 2006-08-02 |
| 1033772728 | Christopher C. Benson | Emergency Medicine | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2019-04-17 |
| 1982167813 | Matthew Thomas Sims | Emergency Medicine | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2019-04-08 |
| 1316442890 | Taylor Steven Scott | Emergency Medicine | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2018-03-27 |
| 1104329697 | Truepartners Comanche Emergency Specialists Pllc | Emergency Medicine | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2018-03-12 |
| 1154859148 | Andrew Burnette | Emergency Medicine | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2017-06-02 |
| Find all providers in LAWTON | ||||
Please comment or provide details below to improve the information on BURKE HENDRICKS.
| 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.