MEDICARE: DR. MILES J 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	207W00000X	Ophthalmology Physician	43594	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08 20061	OTHER	OH	UNITED HEALTHCARE
2	3336004 001	OTHER	OH	CIGNA
3	OC00959	OTHER	OH	NATIONWIDE
4	CM319	OTHER	OH	HEALTH REACH
5	0949899	OTHER	OH	AETNA
6	31157761201	OTHER	OH	PACIFICARE
7	86516	OTHER	OH	HEALTH PARTNERS

General Provider Information

NPI Number	:	1255348082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MILES J BURKE M.D.

Provider Business Mailing Address
First Line	:	10475 MONTGOMERY RD
Second Line	:	SUITE 4F
City	:	CINCINNATI
State	:	OH
Zip	:	45242-5201
Country	:	US
Telephone Number	:	513-984-4949
Fax Number	:	513-794-7552

Provider Business Practice Location Address
First Line	:	10475 MONTGOMERY RD
Second Line	:	SUITE 4F
City	:	CINCINNATI
State	:	OH
Zip	:	45242-5201
Country	:	US
Telephone Number	:	513-984-4949
Fax Number	:	513-794-7552

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

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. MILES J BURKE M.D.” Practice Location

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