ANDREW LEE BURLESON (NPI# 1831347285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831347285 |
| Entity Type | Individual |
| Full Name | ANDREW LEE BURLESON |
| Credential | ARRT(R)(CT) |
| Practice Address |
407 Washington Ave Crab Orchard WV 25827-9598 |
| Practice Telephone | 3042524785 |
| Mailing Telephone | 3042524785 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
3281 | WV | Technologists, Technicians & Other Technical Service Providers |
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
3281 | WV | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | STATE OF WEST VIRGINIA MEDICAL IMAGING AND RADIATION THERAPY | 3281 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851667489 | Andrew Burleson | Orthopaedic Surgery | 2835 Miami Village Dr, Miamisburg, OH 45342 | 2012-03-28 |
| Street Address |
407 WASHINGTON AVE |
| City | CRAB ORCHARD |
| State | WV |
| Zip Code | 25827-9598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305221 | Chassity Lavone Yost | Technician | 147 Celestial St., Crab Orchard, WV 25827 | 2020-10-27 |
| 1811504947 | Sarah Nicole Cooper | Case Manager/Care Coordinator | 1295 Robert C. Byrd Dr., Crab Orchard, WV 25827 | 2020-09-23 |
| 1275140303 | Falynn Lee Canaday | Case Manager/Care Coordinator | 1295 Robert C Byrd Drive, Crab Orchard, WV 25827 | 2020-09-23 |
| 1518572817 | Augusta Jane Bailey | Technician | 150 Orchard Woods, Crab Orchard, WV 25827 | 2020-09-14 |
| 1689287856 | Jeremy Adam Ferguson | Technician | 235 Hick Hollow Rd., Josephine, WV 25827 | 2020-08-28 |
| 1891279576 | Kathlyn Landis Sallaz | Pharmacist | 1299 Robert C Byrd Dr., Crab Orchard, WV 25827 | 2018-09-19 |
| 1407396773 | Tabula Rasa, Pllc | Preferred Provider Organization | 1296 Robert C. Byrd Drive, Crab Orchard, WV 25827 | 2017-03-06 |
| 1730628025 | Tabula Rasa, Pllc | Exclusive Provider Organization | 1296 Robert C. Byrd Dr, Crab Orchard, WV 25827 | 2017-02-20 |
| 1831645464 | Pnb | Community/Behavioral Health | 1289 Robert C Byrd Dr, Suite 4, Crab Orchard, WV 25827 | 2016-09-01 |
| 1659509982 | Kaitlin Ann Blackburn | Registered Nurse | 118 Shepherd Lane, Crab Orchard, WV 25827 | 2009-06-25 |
| Find all providers in zip 25827 | ||||
| Taxonomy Code | 2471C3401X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Computed Tomography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609249556 | James Anthony Altman | Radiologic Technologist | 53 Natural Way, Martinsburg, WV 25404-3780 | 2015-11-01 |
| City | CRAB ORCHARD |
| Zip Code | 25827 |
Please comment or provide details below to improve the information on ANDREW LEE BURLESON.
| 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.