MR. JEFFREY D BURKHOLZ (NPI# 1659410462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659410462 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY D BURKHOLZ |
| Practice Address |
263 Main St Old Saybrook CT 06475-2326 |
| Practice Telephone | 8603883053 |
| Mailing Telephone | 8603883053 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 233 | CT | Speech, Language and Hearing Service Providers |
| Street Address |
263 MAIN ST |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194727404 | Christina Fantoni | Midwife | 263 Main St, Old Saybrook, CT 06475-2326 | 2005-06-01 |
| 1194208603 | Carrie Kolb, Lcsw, LLC | Social Worker | 263 Main St, Old Saybrook, CT 06475-2326 | 2018-09-11 |
| 1992290167 | Caitlyn Elizabeth Goggin | Counselor | 263 Main St, Old Saybrook, CT 06475-2326 | 2018-06-28 |
| 1861905226 | Erica Kyne | Counselor | 263 Main St, Old Saybrook, CT 06475-2326 | 2017-11-08 |
| 1255728614 | Tidal Counseling LLC | Counselor | 263 Main St, Suite 304, Old Saybrook, CT 06475-2326 | 2015-04-22 |
| 1316340334 | Shaina Dawn Wilkinson | Counselor | 263 Main St, Suite 108, Old Saybrook, CT 06475-2326 | 2014-10-04 |
| 1194153296 | Wade Lindsay Chartier | Counselor | 263 Main St, Old Saybrook, CT 06475-2326 | 2013-10-29 |
| 1528408754 | Tinnysha A Chopra | Dentist | 263 Main St, 2nd Floor, Old Saybrook, CT 06475-2326 | 2013-07-02 |
| 1740539162 | Community Health Center Inc. | Clinic/Center | 263 Main St, 2nd Floor, Old Saybrook, CT 06475-2326 | 2012-08-30 |
| 1487949731 | Jordyn R Perlin | Counselor | 263 Main St, 301, Old Saybrook, CT 06475-2326 | 2011-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912464223 | Kathleen Malcolm | Physical Medicine & Rehabilitation | Apple Rehab Saybrook, 1775 Boston Post Rd, Old Saybrook, CT 06475 | 2019-02-22 |
| 1841661469 | Laura M. Shires, Lcsw, LLC | Social Worker | 24 Ledge Road, Old Saybrook, CT 06475 | 2015-10-08 |
| 1316323397 | Robyn Reilly | Nurse Practitioner | 1687 Rte 1, Old Saybrook, CT 06475 | 2015-08-03 |
| 1679858542 | Brandi Taylor | Counselor | 263 Main St., Suite 301, Old Saybrook, CT 06475 | 2011-10-11 |
| 1346545670 | Lucille Wymer Hartman | Mechanotherapist | 1775 Boston Post Road, Old Saybrook, CT 06475 | 2011-01-18 |
| 1508160631 | Whole Health Wellness, LLC | Clinic/Center | 139 Mill Rock Rd E Unit 1522, Old Saybrook, CT 06475 | 2011-01-04 |
| 1184948481 | Maria S. Foss-rand | Counselor | 251 Main St., Suite 100, Old Seybrook, CT 06475 | 2010-03-16 |
| 1467658161 | Rick Morant Dmd Ms LLC | Dentist | 1358 Boston Post Rd, Suite 2, Old Saybrook, CT 06475 | 2007-06-21 |
| 1174724801 | Richard P Benoit Dmd PC | Dentist | 123 Elm Street, Suite 1300, Old Saybrook, CT 06475 | 2007-05-30 |
| 1194932392 | Omotayo Elizabeth Awujoola | Nurse Practitioner | 20 Research Parkway, Old Saybrook, CT 06475 | 2007-05-17 |
| Find all providers in zip 06475 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184263493 | Jenna Worgul Antipoff | Hearing Instrument Specialist | 900 Boston Post Rd, Old Saybrook, CT 06475-2136 | 2020-01-03 |
| 1033564505 | Domigo Rene Vicedomini | Hearing Instrument Specialist | 17 Sunset Rd, Old Saybrook, CT 06475-2006 | 2016-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
| 1124655915 | Kristy M Ouellette | Hearing Instrument Specialist | 240 Indian River Rd Ste A4, Orange, CT 06477-3690 | 2020-03-24 |
| 1336775485 | Lance Morton | Hearing Instrument Specialist | Miracle Ear, 1206 Silas Deane Hwy, Wethersfield, CT 06109 | 2020-03-20 |
| 1508492620 | Tammy Lee Johnson | Hearing Instrument Specialist | 1151 E Main St Ste B, Torrington, CT 06790-3983 | 2020-03-20 |
| 1720614951 | Adrienne Bartell | Hearing Instrument Specialist | 301 Housatonic Dr, Milford, CT 06460-4941 | 2020-03-19 |
| 1366078560 | Stephanie Lee Irene Partridge | Hearing Instrument Specialist | 67 Newtown Rd Ste 21, Danbury, CT 06810-6238 | 2020-03-19 |
| 1356975551 | Home Hearing | Hearing Instrument Specialist | 71 Raymond Rd, West Hartford, CT 06107-2211 | 2020-02-26 |
| 1447882634 | Alexander Wolfe | Hearing Instrument Specialist | 111 High Ridge Rd Fl 3, Stamford, CT 06905-3813 | 2020-02-06 |
| 1962040402 | John Steven Caswell | Hearing Instrument Specialist | 11 Maple Ridge Dr, Somers, CT 06071-1501 | 2019-12-16 |
| 1598313843 | Nicholas Peter Alphonso Wills | Hearing Instrument Specialist | 297 Brittany Farms Rd, New Britain, CT 06053-1124 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
| City | OLD SAYBROOK |
| Zip Code | 06475 |
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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.