Jason S Burgess
Surgeon Vascular Surgeon
2001 Vail Avenue Ste 320
Charlotte
, North Carolina 28207-1107
Jason S Burgess
Surgeon Vascular Surgeon
2001 Vail Avenue Ste 320
Charlotte
, North Carolina 28207-1107
(704) 365-2073
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Jason S Burgess
- Po Box 33369
- Charlotte, NC
- Zip : 28233-3369
- Fax : (704) 365-2073
- Phone : (704) 364-8100
Second Address
- Jason S Burgess
- 2001 Vail Avenue Ste 320
- Charlotte, NC
- Zip : 28207-1107
- Fax : (704) 333-3356
- Phone : (704) 333-0741
Reviews
FAQs
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In what state does Jason S Burgess practice in?
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Is Jason S Burgess a sole practitioner?
Is Jason S Burgess accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 200200093 | NC |
| N | 208600000X | Surgeon | 200200093 | NC |
| Y | 2086S0129X | Vascular Surgeon | 200200093 | NC |
National Provider Identifier
| NPI | 1043201361 |
|---|---|
| Provider Name | Jason S Burgess |
| First Address | Charlotte, NC 28233-3369 |
| Second Address | Charlotte, NC 28207-1107 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2005 |
| Last Update Date | 07/02/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2000396 | MEDICARE (01) | |
| 2000396D | MEDICARE PIN FACULTY (01) | |
| 891305A | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.