DR. MICHAEL BURGOON (NPI# 1043395825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043395825 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BURGOON |
| Credential | DC |
| Practice Address |
2302 Colonial Ave Sw Suite A Roanoke VA 24015 |
| Practice Telephone | 5403436636 |
| Practice Fax Number | 5403436670 |
| Mailing Telephone | 5403436636 |
| Mailing Fax Number | 5403436670 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2010-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104001967 | VA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PALMETTO MEDICARE | P06008229 | 01 | |
| ANTHEM | 292833 | 01 |
| Street Address |
2302 COLONIAL AVE SW SUITE A |
| City | ROANOKE |
| State | VA |
| Zip Code | 24015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558733667 | Helpful Hands Home Care Services | In Home Supportive Care | 2302 Colonial Ave Sw, Suite D, Roanoke, VA 24015-3100 | 2015-10-28 |
| 1770668550 | Michael S Burgoon Dc PC | Chiropractor | 2302 Colonial Ave Sw, Suite A, Roanoke, VA 24015 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549163 | Manu Singh | Physical Therapist | 1327 Grandin Rd #243, Roanoke, VA 24015 | 2018-02-27 |
| 1952828329 | Lisa Nielsen | Early Intervention Provider Agency | 2112 Maiden Lane Sw, Roanoke, VA 24015 | 2017-08-27 |
| 1518304955 | Blue Ridge Healthcare Partners, LLC | Clinic/Center | 602 Brandon Ave, Suite 222, Roanoke, VA 24015 | 2013-05-24 |
| 1184938185 | Pamela Jean Merritt | Dentist | 2022 Brambleton Ave Sw, Roanoke, VA 24015 | 2010-08-02 |
| 1093957458 | Susan Wohlford | Speech-Language Pathologist | 2030 Colonial Avenue Sw, Roanoke, VA 24015 | 2009-04-01 |
| 1922141811 | Robert Douglas Ross | Dentist | 1602 Grandin Rd, Roanoke, VA 24015 | 2007-02-14 |
| 1245342237 | Roanoke Family Medicine | Family Medicine | Roanoke Family Medicine Inc, Roanoke, VA 24015 | 2006-08-31 |
| 1861971475 | Molly Amelia Southard | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-14 |
| 1740769009 | Makayla Ramsey | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-08 |
| 1467972604 | Melanie Quillen | Social Worker | 1719 Grandin Rd Sw, Roanoke, VA 24015 | 2017-06-20 |
| Find all providers in zip 24015 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718285 | Meng Sun | Chiropractor | 500 N Highway 377 Ste H, Roanoke, TX 76262-6174 | 2019-06-06 |
| 1194157099 | Jenna Denise Beck | Chiropractor | 100 Country View Dr Ste 300, Roanoke, TX 76262-2054 | 2013-08-01 |
| 1710239298 | Barry Eugene Simpson | Chiropractor | 500 N Highway 377, Suite E., Roanoke, TX 76262-7100 | 2012-10-09 |
| 1972862761 | Connections Achievement and Therapy Center, Corp. | Chiropractor | 5430 Peters Creek Rd, Suite 108, Roanoke, VA 24019-3892 | 2012-05-14 |
| 1376815597 | Collective Chiropractic and Rehab Inc | Chiropractor | 509 E Byron Nelson Blvd Ste A, Roanoke, TX 76262-6183 | 2012-02-03 |
| 1720362809 | Timothy R Willson | Chiropractor | 4118c Franklin Rd Sw, Roanoke, VA 24014-5266 | 2011-10-06 |
| 1740575711 | Core Chiropractic and Wellness Center, Inc. | Chiropractor | 16 W Church Ave, Roanoke, VA 24011-2002 | 2011-06-17 |
| 1982936894 | Mark Mandell | Chiropractor | 6200 Sandhurst Dr, Roanoke, VA 24018-7701 | 2010-02-02 |
| 1770745143 | Craig Camidge | Chiropractor | 3538 Electric Rd, Roanoke, VA 24018-4453 | 2008-06-27 |
| 1982865747 | Sean Patrick Skinner | Chiropractor | 6206 Peters Creek Rd, Roanoke, VA 24019-4026 | 2008-06-24 |
| Find all providers in ROANOKE | ||||
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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.