RICHARD BURGETT (NPI# 1336147230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336147230 |
| Entity Type | Individual |
| Full Name | RICHARD BURGETT |
| Credential | MD |
| Practice Address |
10300 N Illinois St Suite 2020 Indianapolis IN 46290-1166 |
| Practice Telephone | 3178171976 |
| Practice Fax Number | 3178171737 |
| Mailing Telephone | 3178171976 |
| Mailing Fax Number | 3178171737 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2017-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | IN01041553 | IN | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
1041553 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200140100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
| Street Address |
10300 N ILLINOIS ST SUITE 2020 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46290-1166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316398514 | Circle City Neuro-ophthalmology, LLC | Ophthalmology | 10300 N Illinois St, Suite 1000, Indianapolis, IN 46290-1164 | 2016-06-29 |
| 1477903789 | Lai Vision and Surgery, LLC | Ophthalmology | 10300 N Illinois St, Suite 1000, Indianapolis, IN 46290-1164 | 2016-06-16 |
| 1508277542 | Nicholas F Hrisomalos Md PC | Ophthalmology | 10300 N Illinois St, Suite 1070, Indianapolis, IN 46290-1167 | 2014-05-13 |
| 1639455066 | Midwest Cornea Associates, LLC | Ophthalmology | 10300 N Illinois St, Suite 1040, Indianapolis, IN 46290-1166 | 2011-10-31 |
| 1164659751 | Kevin Enpei Lai | Ophthalmology | 10300 N Illinois St, Suite 1000, Indianapolis, IN 46290-1164 | 2009-06-22 |
| 1467699090 | Raj K. Maturi Md PC | Ophthalmology | 10300 N Illinois St, Suite 1060, Indianapolis, IN 46290-1166 | 2009-01-20 |
| 1194758672 | Midwest Glaucoma Associates | Ophthalmology | 10300 N Illinois St, Suite 1010, Indianapolis, IN 46290-1164 | 2006-07-08 |
| 1578522850 | Robert D Deitch | Ophthalmology | 10300 N Illinois St, Suite 1040, Indianapolis, IN 46290-1166 | 2006-03-23 |
| 1568452340 | Nicholas Frank Hrisomalos | Ophthalmology | 10300 N Illinois St, Suite1070, Indianapolis, IN 46290-1167 | 2005-10-24 |
| 1073513628 | John Thomas Minturn | Ophthalmology | 10300 N Illinois St, Suite #1030, Indianapolis, IN 46290-1166 | 2005-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821548777 | American Behavioral Counseling | Social Worker | 10386 Spring Highland Dr, Indianapolis, IN 46290 | 2016-10-04 |
| 1518042431 | James Lamar Jones | Psychologist | 8555 Cedar Place, Suite 113a, Indianapolis, IN 46290 | 2006-10-26 |
| 1437245917 | Bradley Scott Gunter | Physical Therapy Assistant | 10601 N. Meridian St., Suite 110, Indianapolis, IN 46290 | 2006-10-04 |
| 1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
| 1023534815 | Mitchell James Vansumeren | Psychologist | 10291 N Meridian St Ste 310, Indianapolis, IN 46290 | 2017-08-14 |
| 1801281670 | Elizabeth Tibbs | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290 | 2015-03-30 |
| 1447510722 | Bradley A Clark | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-05-21 |
| 1528333861 | Edward Mark Shmukler | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-03-20 |
| 1386938272 | Bryce S Lynn | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2011-06-08 |
| 1063610301 | Babar Sultan | Otolaryngology | 170 W 106th St, Meridian Plastic Surgery, Indianapolis, IN 46290 | 2007-07-09 |
| Find all providers in zip 46290 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| City | INDIANAPOLIS |
| Zip Code | 46290 |
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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.