Physician Compare National (NPI:1033298625)

HEALTHCARE PROVIDER: BEATRICE ANNE BURKE MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033298625
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395837561
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070816000879
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BURKE
	Individual professional last name
Provider First Name	BEATRICE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	136 N SAN MATEO DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	SAN MATEO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	944012779
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PENINSULA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y