Organization · Type 2 NPI

P. Roman Burk DPM PC

Foot & Ankle Surgery Podiatrist · Meridian, ID

NPI number 1649563347 Active

Practice location

2667 E Gala Ct Ste 130
Meridian, ID 83642-2788

Call (208) 795-5090 Map

Mailing address

1818 S 10th Ave Ste 250
Caldwell, ID 83605-4838

Other practice locations

1818 S 10th Ave, #250, Caldwell, ID 83605-4803 · (208) 459-0891
4605 Enterprise Way Ste 103, Caldwell, ID 83605-6889 · (208) 855-5955

Specialties and licenses

Taxonomy	Code	License
Podiatrist	213E00000X	P197 (ID)
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	P197 (ID)
Durable Medical Equipment & Medical Supplies	332B00000X	None listed

Foot & Ankle Surgery Podiatrist: Definition to come...

3 other providers at this address

Other foot & ankle surgery podiatrist providers in Meridian

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NPI record

NPI: 1649563347
Entity type: Organization (Type 2)
Issued: May 27, 2011
Last updated: Sep 29, 2026
Status: Active

Other names

<unavail>
Rocky Mountaint Foot & Ankle · doing business as
Rocky Mountaint Foot & Ankle · doing business as

Authorized official

Amber D Mahan
Practice Mananger
(208) 795-5090

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649563347

P. Roman Burk DPM PC's National Provider Identifier is 1649563347, issued on May 27, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Meridian, ID. The record was last updated on Sep 29, 2026.