MEDICARE: JEFFREY A BURKEY MD

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	207Q00000X	Family Medicine Physician	35-075449	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	9338635	OTHER	OH	PARTNERS PHYSICIAN GROUP MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1932400272	OTHER	OH	SEVILLE PRIMARY CARE TYPE 2 NPI #
3	1841239274	OTHER	OH	PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487634127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY A BURKEY MD

Provider Business Mailing Address
First Line	:	231 CENTER ST
Second Line	:
City	:	SEVILLE
State	:	OH
Zip	:	44273-8864
Country	:	US
Telephone Number	:	330-769-4695
Fax Number	:	330-769-4936

Provider Business Practice Location Address
First Line	:	231 CENTER ST
Second Line	:
City	:	SEVILLE
State	:	OH
Zip	:	44273-8864
Country	:	US
Telephone Number	:	330-769-4695
Fax Number	:	330-769-4936

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	08/12/2013

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Directions to “ JEFFREY A BURKEY MD” Practice Location

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