SALLY A BURTLE (NPI# 1821093972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821093972 |
| Entity Type | Individual |
| Full Name | SALLY A BURTLE |
| Credential | M.D. |
| Practice Address |
901 Nevin Ave Richmond CA 94801-3143 |
| Practice Telephone | 5103072372 |
| Practice Fax Number | 5103072374 |
| Mailing Telephone | 5103072372 |
| Mailing Fax Number | 5103072374 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A94836 | CA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | MD422621 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 3648861 | 01 |
| PA | KEYSTONE HP EAST | 2224495000 | 01 |
| Street Address |
901 NEVIN AVE |
| City | RICHMOND |
| State | CA |
| Zip Code | 94801-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104446988 | Jeremy Robert Kreiss | Registered Nurse | 901 Nevin Ave, Richmond, CA 94801-3143 | 2020-04-21 |
| 1043865595 | Lydia Lee | Physical Therapist | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-08-01 |
| 1558925966 | Christina Dang | Dietitian, Registered | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-05-01 |
| 1811454697 | Sandra Willingham | Respiratory Therapist, Registered | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-02-27 |
| 1982161071 | Somchay Bob Xayasounthone | Respiratory Therapist, Registered | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-02-25 |
| 1568929859 | Karen Bautista | Respiratory Therapist, Registered | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-02-23 |
| 1164988739 | Demetrius Lee Hopkins | Respiratory Therapist, Certified | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-02-19 |
| 1710443429 | Bernard Figueroa | Respiratory Therapist, Registered | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-02-18 |
| 1083170237 | Christie Kundysek | Respiratory Therapist, Registered | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-02-13 |
| 1174089320 | Aristotle Alonga | Respiratory Therapist, Registered | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154815082 | Denise Carey | Social Worker | 900 Nevin, Richmond, CA 94801 | 2018-06-14 |
| 1063909414 | Sunjae Jung | Dentist | 265 16th St, Richmond, Richmond, CA 94801 | 2018-04-20 |
| 1780100479 | Daniel Chen | Dentist | 520 Seacliff Pl, Richmond, CA 94801 | 2017-08-15 |
| 1790043347 | Kanwal Ambar Merchant | Pediatrics | 150 Harbor Way, Richmond, CA 94801 | 2012-05-01 |
| 1114182607 | Christopher Gibney | Acupuncturist | 723 Western Drive, Richmond, CA 94801 | 2008-07-23 |
| 1134320732 | Beverly Jo Skipper | Technician/Technologist | 322 Harbour Way, Suite 2, Richmond, CA 94801 | 2007-05-30 |
| 1306058383 | Judy S. Chin | Acupuncturist | 139 W. Richmond Ave., Suite 7, Pt. Richmond, CA 94801 | 2007-05-04 |
| 1720154636 | Marianne Philippek | Nurse Practitioner | 901 Nevin Avenue, Richmond, CA 94801 | 2006-11-24 |
| 1578645511 | Bridget Grace Moran | Registered Nurse | 901nevin Ave, Building C, 2nd Floor, Richmond, CA 94801 | 2006-10-19 |
| 1891875654 | Phyllis W. Zisman | Pharmacist | Kaiser Foundation Hospital, 901 Nevin Ave., Richmond, CA 94801 | 2006-10-16 |
| Find all providers in zip 94801 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588210330 | Brandi M Horner | Dermatology | 7650 E Parham Road, Ste 110, Richmond, VA 23294-4367 | 2019-08-16 |
| 1811211592 | Adam A Martin | Dermatology | 6946 Forest Ave Ste 200, Richmond, VA 23230-1701 | 2010-03-24 |
| 1114153285 | Brigitte Ullrich | Dermatology | 8715 Higginbotham Pl, Richmond, VA 23229-7935 | 2009-06-03 |
| 1972773745 | Laser & Skin Surgery Center of Richmond PC | Dermatology | 7001 Forest Ave., Suite 301, Richmond, VA 23230-1724 | 2008-03-07 |
| 1366631038 | Shelley K. Hoover, M.d., PC | Dermatology | 8600 Staples Mill Rd, Richmond, VA 23228-2719 | 2007-10-18 |
| 1891997433 | Jon Mark Igelman | Dermatology | 3113 Devon Drive, Richmond, IN 47374-9750 | 2007-06-05 |
| 1316907371 | Hazel J Vernon | Dermatology | 7001 Forest Ave Ste 300, Richmond, VA 23230-1726 | 2006-03-24 |
| 1346225802 | Christopher Robert Gorman | Dermatology | 420 Libbie Avenue, Richmond, VA 23226 | 2005-12-07 |
| 1215921390 | Dwight D. Smith | Dermatology | 180 Glenwood Dr, Richmond, IN 47374-3565 | 2005-09-06 |
| 1669466819 | Christopher Timberlake Aleman | Dermatology | 10710 Midlothian Tpke Ste 401, Richmond, VA 23235-4723 | 2005-09-02 |
| Find all providers in RICHMOND | ||||
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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.