Provider Demographics
NPI:1811971864
Name:BURKINS, JOHN ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ANDREW
Last Name:BURKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:J.
Other - Middle Name:ANDREW
Other - Last Name:BURKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:601 E BROAD ST
Mailing Address - Street 2:LEHIGH VALLEY ACT
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-6332
Mailing Address - Country:US
Mailing Address - Phone:610-882-1355
Mailing Address - Fax:610-882-3181
Practice Address - Street 1:601 E BROAD ST
Practice Address - Street 2:LEHIGH VALLEY ACT
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6332
Practice Address - Country:US
Practice Address - Phone:610-882-1355
Practice Address - Fax:610-882-3181
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018046E2084P0800X
ME0187282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE64299Medicare UPIN