Provider Demographics
NPI:1982886537
Name:CHESAPEAKE PULMONARY ASSOCIATES, LLC
Entity Type:Organization
Organization Name:CHESAPEAKE PULMONARY ASSOCIATES, LLC
Other - Org Name:THOMAS F BURKE, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-453-5055
Mailing Address - Street 1:PO BOX 297
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-0297
Mailing Address - Country:US
Mailing Address - Phone:443-453-5055
Mailing Address - Fax:443-453-5054
Practice Address - Street 1:2303 BEL AIR RD
Practice Address - Street 2:SUITE 5
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-2737
Practice Address - Country:US
Practice Address - Phone:443-453-5055
Practice Address - Fax:443-453-5054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0047746261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD404853900Medicaid
MD528PS670OtherMEDICARE ID
MDM41063OtherCDS
MDG33317Medicare UPIN
MD181MMedicare UPIN