MEDICARE: DR. RICHARD ARON BURKE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2000173739	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	29498015	OTHER	MO	BLUE SHIELD KANSAS CITY
2	458296	OTHER	MO	HEALTHLINK FREEDOM NETWOR
3	29498025	OTHER	MO	BLUE SHIELD KANSAS CITY

General Provider Information

NPI Number	:	1245237817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD ARON BURKE M.D.

Provider Business Mailing Address
First Line	:	100 ROCKINGHAM DR
Second Line	:
City	:	ROCK PORT
State	:	MO
Zip	:	64482-1172
Country	:	US
Telephone Number	:	660-744-5781
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 E CASS ST
Second Line	:
City	:	ROCK PORT
State	:	MO
Zip	:	64482-1528
Country	:	US
Telephone Number	:	660-744-5361
Fax Number	:	660-744-2247

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/18/2007

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Directions to “ DR. RICHARD ARON BURKE M.D.” Practice Location

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