Healthcare Provider Details

I. General information

NPI: 1841610656
Provider Name (Legal Business Name): CONNOR PATRICK BURKE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2014
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 N HAMILTON RD STE 3C
WESTERVILLE OH
43081-2062
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-7500
  • Fax: 614-685-9427
Mailing address:
  • Phone: 614-293-7500
  • Fax: 614-685-9427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.154619
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: