JEREMY J BURDGE (NPI# 1235113408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235113408 |
| Entity Type | Individual |
| Full Name | JEREMY J BURDGE |
| Credential | M.D. |
| Practice Address |
3732 Olentangy River Rd Suite C Columbus OH 43214-3449 |
| Practice Telephone | 6144510411 |
| Practice Fax Number | 6144518037 |
| Mailing Telephone | 6144510411 |
| Mailing Fax Number | 6144518037 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2013-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35-042744 | OH | Other Service Providers |
| N | 208200000X | Plastic Surgery | 35.042744 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM PROVIDER ID | 000000118889 | 01 |
| OH | 0553753 | 05 |
| Street Address |
3732 OLENTANGY RIVER RD SUITE C |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-3449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1891327755 | Dejuan Julius Nelson | Specialist | 4937 Mcallister Ave, Columbus, OH 43227-1447 | 2020-02-09 |
| 1306481676 | Big Heads Barber Salon | Specialist | 6161 Busch Blvd Ste 56, Columbus, OH 43229-2548 | 2019-11-11 |
| 1538723945 | Nakia Frazier | Specialist | 4913 Festival St, Columbus, GA 31907-6065 | 2019-05-01 |
| 1033772868 | Kimberly Gore Salon Inc | Specialist | 2534 Wynnton Rd Ste B, Columbus, GA 31906-2180 | 2019-04-17 |
| 1184108375 | Crystal Denise Allen | Specialist | 3029 Cleveland Ave, Columbus, OH 43224-4421 | 2018-09-24 |
| 1770074445 | Robert Tavani | Specialist | 1203 E Broad St, Columbus, OH 43205-1404 | 2018-05-29 |
| 1689191991 | Columbus Tutoring Services, LLC | Specialist | 2700 E Main St Ste 211, Columbus, OH 43209-2536 | 2017-08-28 |
| 1265985352 | Tim Jones | Specialist | 1527 Eastmeadow Pl, Columbus, OH 43235-7535 | 2016-07-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1487059606 | Wilbert Herschel Turner IIi | Specialist | 1160 Steelwood Rd, Columbus, OH 43212-1356 | 2014-10-30 |
| Find all providers in COLUMBUS | ||||
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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.