JENNIFER K BURKE
MAIN LINE HEALTHCARE

Address: 100 E Lancaster Ave, Wynewood, PA 19096-3450

JENNIFER K BURKE (NPI# 1447224076, PAC ID# 5092873869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.

Physician Overview

Nation Provider ID (NPI) 1447224076
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 5092873869
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20081022000703
Last Name BURKE
First Name JENNIFER
Middle Name K
Gender F
Organization Legal Name MAIN LINE HEALTHCARE
Address 100 E Lancaster Ave
Wynewood
PA 19096-3450
Phone Number 4844768150
Medical School PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2001
Primary Specialty HOSPITALIST
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 1951215201
Number of Group Practice Members 646
Professional Accepts Medicare Assignment Y
Group Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390222 RIDDLE MEMORIAL HOSPITAL

Provider Overview

Nation Provider ID (NPI) 1447224076
by National Plan and Provider Enumeration System (NPPES)
Full Name JENNIFER KATHLYNNE BURKE
Taxonomy Code 207R00000X
Taxonomy Classification Internal Medicine
Location 1068 W Baltimore Pike, Media, PA 19063-5104

Organization Information

Organization Legal Name MAIN LINE HEALTHCARE

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Stephanie Klein Nurse Practitioner Main Line Healthcare 120 Valley Green Lane, Suite 510, King of Prussia, PA 19406
Greg Thomas Labier Hospitalist Main Line Healthcare 1068 W Baltimore Pike, Rmh House Phys Group, Media, PA 19063-5104
Joseph Li Neurology Main Line Healthcare 21 Industrial Blvd, Suite 205, Paoli, PA 19301-1610
Elizabeth Marie Daly Family Medicine Main Line Healthcare 1100 Hector St, Suite 105, Conshohocken, PA 19428-2374
Cynthia Lacapra Family Medicine Main Line Healthcare 3001 Garrett Rd, C, Drexel Hill, PA 19026-2201
Jennifer Kraft Internal Medicine Main Line Healthcare 915 Montgomery Ave, Fl 4, Penn Valley, PA 19072-1548
Bonnie R O Hara Nurse Practitioner Main Line Healthcare 830 Old Lancaster Rd, Bryn Mawr, PA 19010-3118
Adrienne Noelle Johnson Nurse Practitioner Main Line Healthcare 950 Forge Ave, Suite 200, Audubon, PA 19403-2305
Michael R Murray Orthopedic Surgery Main Line Healthcare 599 Arcola Rd, Collegeville, PA 19426-3954
Jeffrey Stevens Family Medicine Main Line Healthcare 11 Industrial Blvd, Suite 201, Paoli, PA 19301-1620
Find all physicians in the same organization

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.