Healthcare Provider Details

I. General information

NPI: 1669432886
Provider Name (Legal Business Name): DAVID JAMES BURKEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 02/16/2021
Certification Date: 02/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 VANADIUM RD STE 300
PITTSBURGH PA
15243-1477
US

IV. Provider business mailing address

1000 BOWER HILL ROAD ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
PITTSBURGH PA
15243-1873
US

V. Phone/Fax

Practice location:
  • Phone: 412-429-8840
  • Fax:
Mailing address:
  • Phone: 412-924-2548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD029185E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: