Provider Demographics
NPI:1477553774
Name:DR. HARRY B. BURKE AND ASSOCIATES, PC
Entity Type:Organization
Organization Name:DR. HARRY B. BURKE AND ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:724-775-6168
Mailing Address - Street 1:3578 BRODHEAD RD
Mailing Address - Street 2:
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-3143
Mailing Address - Country:US
Mailing Address - Phone:724-775-6168
Mailing Address - Fax:724-775-2633
Practice Address - Street 1:3578 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-3143
Practice Address - Country:US
Practice Address - Phone:724-775-6168
Practice Address - Fax:724-775-2633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA331692OtherHIGHMARK BLUE CR/BLUE SH
PA000000060023OtherTHREE RIVERS HEALTH PLAN
PA115430OtherHEALTH AMERICA
PA1004916OtherGATEWAY HEALTH PLAN
PA115429OtherHEALTH ASSURANCE
PA954122OtherAETNA INSURANCE
PACG3284OtherRR MEDICARE-UNITED HEALTH
PA0000003334OtherUPMC HEALTH PLANS
PA035630Medicare ID - Type Unspecified