Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 34-01-0419 | OH |
NPI | 1326289257 |
---|---|
Provider Name | Dr. William Burgette |
First Address | Dublin, OH 43016-4144 |
Second Address | Hilliard, OH 43026-1962 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2009 |
Last Update Date | 25/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000001133176 | ANTHEM (01) | OH |
0136604 | (05) | OH |
H375521 | MEDICARE (OHIOHEALTH) (01) | OH |