Provider Demographics
NPI:1043285844
Name:BURKE, SHARON A (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:A
Last Name:BURKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3012 BROADHAVENE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-1218
Mailing Address - Country:US
Mailing Address - Phone:201-259-5079
Mailing Address - Fax:
Practice Address - Street 1:14057 US HIGHWAY 17 N STE 220
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-3779
Practice Address - Country:US
Practice Address - Phone:910-270-3673
Practice Address - Fax:910-270-0529
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016-02561208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC322455OtherMEDCOST
NC2287412OtherUHC
NC11151571OtherMULTIPLAN
NC1043285844Medicaid
NC19NXFOtherBCBS OF NC
NC5424499OtherAETNA
NC9585573OtherCIGNA
NJ5424499OtherAETNA HEALTHCARE
NJP2216557OtherOXFORD HEALTH PLANS
NJP2216557OtherOXFORD HEALTH PLANS
NJ528593Medicare ID - Type Unspecified