MEDICARE: CHERIE ANNE BURKE CRNA

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN-284993-L	PA
2	367500000X	Certified Registered Nurse Anesthetist	RNA153013	ME
3	367500000X	Certified Registered Nurse Anesthetist	RN284993L	PA
4	367500000X	Certified Registered Nurse Anesthetist	748	NC
5	367500000X	Certified Registered Nurse Anesthetist	31024	SC

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00125810	OTHER	PA	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50076969	OTHER	PA	CAPITAL BLUE CROSS, KHPC, SENIOR BLUE
2	753047838002	OTHER	PA	TRICARE
3	1699748	OTHER	PA	FIRST PRIORITY
4	50082034	OTHER	PA	CAPITAL ADVANTAGE
5	87061	OTHER	PA	GEISINGER
7	2371185000	OTHER	PA	IBC
8	7264769	OTHER	PA	AETNA
9	1699748	OTHER	PA	HIGHMARK BU
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	1549306	OTHER	PA	GATEWAY
12	20032056	OTHER	PA	AMERIHEALTH MERCY

NPI Number	:	1427052232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERIE ANNE BURKE CRNA

Provider Business Mailing Address
First Line	:	PO BOX 6069
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29171-6069
Country	:	US
Telephone Number	:	803-791-2491
Fax Number	:	803-794-5960

Provider Business Practice Location Address
First Line	:	2720 SUNSET BLVD
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-4810
Country	:	US
Telephone Number	:	803-935-8538
Fax Number	:	803-791-2660

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	03/18/2026

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308