MEDICARE: DR. JOYCE KOPICKY BURD 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	207RR0500X	Rheumatology Physician	D29920	MD
2	207RR0500X	Rheumatology Physician	MD069697L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	012560	OTHER	PA	JOHNS HOPKINS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	472396	OTHER	PA	MAMSI-WSMG
4	1142801	OTHER	PA	AMERIHEALTH MERCY-WMG
5	4262731	OTHER	PA	AETNA
6	01099603	OTHER	PA	CAPITAL BLUE CROSS-WMG
7	98896	OTHER	PA	UNISON-WMG
8	1519845	OTHER	PA	GATEWAY-WMG
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	416340	OTHER	MD	CAREFIRST MD BCBS
11	64245	OTHER	PA	GEISINGER
12	BU620619	OTHER	PA	HIGHMARK -WMG

General Provider Information

NPI Number	:	1316984271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOYCE KOPICKY BURD M.D.

Provider Business Mailing Address
First Line	:	3421 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-9001
Country	:	US
Telephone Number	:	717-851-6236
Fax Number	:	717-851-6243

Provider Business Practice Location Address
First Line	:	292 SAINT CHARLES WAY
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-4648
Country	:	US
Telephone Number	:	717-851-6236
Fax Number	:	717-851-6243

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	06/10/2016

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