REBECCA M. BURGOON (NPI# 1013233055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013233055 |
| Entity Type | Individual |
| Full Name | REBECCA M. BURGOON |
| Credential | PA |
| Practice Address |
5700 Monroe St Unit 103 Sylvania OH 43560-2771 |
| Mailing Address |
1 Seagate Ste 800 Toledo OH 43604-1558 |
| Practice Telephone | 4198437996 |
| Practice Fax Number | 4198417704 |
| Mailing Telephone | 4198437996 |
| Mailing Fax Number | 4198417704 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 5601007063 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 50.003035 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0103145 | 05 |
| Street Address |
5700 MONROE ST UNIT 103 |
| City | SYLVANIA |
| State | OH |
| Zip Code | 43560-2771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026125 | Charles L Filipiak | Internal Medicine | 5700 Monroe St Unit 103, Sylvania, OH 43560 | 2005-07-13 |
| 1609412436 | Allison Rublaitus | Nurse Practitioner | 5700 Monroe St Unit 103, Sylvania, OH 43560-2771 | 2019-11-27 |
| 1609315639 | Stephanie Lance | Nurse Practitioner | 5700 Monroe St Unit 103, Sylvania, OH 43560-2771 | 2017-02-23 |
| 1679972053 | Margaret E. Ball | Nurse Practitioner | 5700 Monroe St Unit 103, Sylvania, OH 43560-2771 | 2014-08-21 |
| 1487061768 | Mohammad Alshoha | Internal Medicine | 5700 Monroe St Unit 103, Sylvania, OH 43560-2771 | 2014-07-17 |
| 1912313404 | Hannah Marie Kinney | Physician Assistant | 5700 Monroe St Unit 103, Sylvania, OH 43560-2771 | 2014-07-07 |
| 1972913135 | Nicholas Joseph Horton | Internal Medicine | 5700 Monroe St Unit 103, Sylvania, OH 43560-2771 | 2014-04-28 |
| 1881959583 | Heather A Monnett | Nurse Practitioner | 5700 Monroe St Unit 103, Sylvania, OH 43560-2771 | 2012-07-09 |
| 1184854747 | Tarik Zuhier Alhmoud | Internal Medicine | 5700 Monroe St Unit 103, Sylvania, OH 43560-2771 | 2009-07-17 |
| 1609001403 | Sameh Bashar Almadani | Internal Medicine | 5700 Monroe St Unit 103, Sylvania, OH 43560-2771 | 2009-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
| 1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
| 1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
| 1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
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| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568844850 | Joseph Rose Jr. | Physician Assistant | 5300 Harroun Rd Ste 118, Sylvania, OH 43560-2146 | 2015-06-23 |
| 1912313404 | Hannah Marie Kinney | Physician Assistant | 5700 Monroe St Unit 103, Sylvania, OH 43560-2771 | 2014-07-07 |
| 1528233632 | Flower Hospital | Physician Assistant | 5200 Harroun Rd, Flower Hospital Pa, Sylvania, OH 43560-2168 | 2008-04-29 |
| 1053538512 | Ryan Joseph Szenderski | Physician Assistant | 7640 Sylvania Avenue, # 100, Sylvania, OH 43560 | 2007-04-19 |
| 1942214085 | Holly L Smith | Physician Assistant | 5700 Monroe St Unit 111, Sylvania, OH 43560-2779 | 2006-07-27 |
| 1407891294 | Lauren G Pakosz | Physician Assistant | 5700 Monroe St Unit 111, Sylvania, OH 43560-2779 | 2006-06-17 |
| 1740258425 | Suzanne Luebke | Physician Assistant | 5700 Monroe St Unit 103, Sylvania, OH 43560-2771 | 2006-03-09 |
| 1780654608 | Jennifer L Ellegood | Physician Assistant | 5200 Harroun Rd, Sylvania, OH 43560-2168 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750221 | Kathryn Eileen Aurand | Physician Assistant | 1020 E 346th St, Eastlake, OH 44095-2629 | 2020-11-06 |
| 1508467010 | Amanda Dawn Smith | Physician Assistant | 1621 Spruce St, Zanesville, OH 43701-2534 | 2020-11-03 |
| 1356941603 | Ingrid Mompoint-butler | Physician Assistant | 1911 Oakland Park Ave, Columbus, OH 43224-3630 | 2020-10-27 |
| 1083213946 | Breanne Lyon | Physician Assistant | 870 S Troy Ave, Cincinnati, OH 45246-4620 | 2020-10-21 |
| 1669071908 | Hannah Murrin | Physician Assistant | 4329 Marival Way, Mason, OH 45040-2867 | 2020-10-19 |
| 1861091241 | Beau Webb | Physician Assistant | 6017 Cruxten Dr, Dayton, OH 45424-3702 | 2020-10-18 |
| 1467051821 | Kelsey Nicole Weiss | Physician Assistant | 9025 Peacock Way Unit 206, West Chester, OH 45069-1659 | 2020-10-18 |
| 1215535489 | Caitlin Cahill | Physician Assistant | 2470 Merrybell Ct, Grove City, OH 43123-8724 | 2020-10-11 |
| 1174121461 | Thuy Lam Pham | Physician Assistant | 505 Brodywood Dr, Toledo, OH 43615-4589 | 2020-10-09 |
| 1508463506 | John Ronald Creighton | Physician Assistant | 7460 Marion St Apt B, Chesterhill, OH 43728-9613 | 2020-10-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.