Burke Dermatology SC
NPI 1295976256ActiveOrganization· Dermatology· Evergreen, CO
Dermatology in Evergreen, Colorado, registered in NPPES in March 2009. The authorized official on file is William Sean Burke, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295976256 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2009 |
| Last updated in NPPES | May 26, 2025 |
| Certified by provider | May 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 036122682 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
Other Dermatology providers in Evergreen
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