Provider Demographics
NPI:1316258882
Name:BURKUS, JANNA K (DO)
Entity type:Individual
Prefix:
First Name:JANNA
Middle Name:K
Last Name:BURKUS
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:9716 RIVERSIDE PKWY
Mailing Address - Street 2:STE 100
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137
Mailing Address - Country:US
Mailing Address - Phone:918-299-4333
Mailing Address - Fax:918-299-4330
Practice Address - Street 1:9716 RIVERSIDE PKWY
Practice Address - Street 2:STE 100
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137
Practice Address - Country:US
Practice Address - Phone:918-299-4333
Practice Address - Fax:918-229-4330
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2014-06-13
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Provider Licenses
StateLicense IDTaxonomies
OK4883207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200301910BMedicaid