JASON S BURGESS


Address: 2001 Vail Avenue, Ste 320, Charlotte, NC 28207-1107
Phone: 7043330741

JASON S BURGESS (NPI# 1043201361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043201361
Entity Type Individual
Full Name JASON S BURGESS
Credential MD
Practice Address 2001 Vail Avenue
Ste 320
Charlotte
NC 28207-1107
Mailing Address 1918 Randolph Road
Suite 130
Charlotte
NC 28207-1107
Practice Telephone 7043330741
Practice Fax Number 7043333356
Mailing Telephone 7043648100
Mailing Fax Number 7043652073
Enumeration Date 2005-11-04
Last Update Date 2014-05-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 200200093 NC Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
200200093 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 891305A 05
MEDICARE 2000396 01
MEDICARE PIN FACULTY 2000396D 01

Other Providers JASON BURGESS

NPI Name Taxonomy Address Enumeration
1740674084 Jason Paul Burgess Student in an Organized Health Care Education/Training Program 807 W Longleaf Dr Unit 26, Auburn, AL 36832-2679 2015-03-25
1588663850 Jason L Burgess Chiropractor 107 S Oak St, Mount Carmel, PA 17851-2145 2005-07-19

Office Location

Street Address 2001 VAIL AVENUE
STE 320
City CHARLOTTE
State NC
Zip Code 28207-1107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487825170 Mercy Hospital, Inc Clinic/Center 2001 Vail Avenue, Cmc Mercy, Charlotte, NC 28207-1219 2008-03-20
1902028343 Michael W. Dobson Surgery 2001 Vail Avenue, Ste 320, Charlotte, NC 28207-1107 2007-05-03
1992880884 Patrick Russell Burnside Emergency Medicine 2001 Vail Avenue, Carolinas Medical Center-mercy Dept Em, Charlotte, NC 28207 2006-10-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013560739 Louis Roncaglione Dentist 8815 Christenbury Pkway, Concord, NC 28207 2019-07-22
1619430014 Khrystyna Levytska Student in an Organized Health Care Education/Training Program Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 2019-04-11
1649743584 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 1005 South Kings Drive, Charlotte, NC 28207 2019-01-03
1023584489 Herron and Smith Associates, Pllc Dentist 135 Perrin Place, Suite 100, Charlotte, NC 28207 2018-10-23
1588161640 Lauren Mogk Student in an Organized Health Care Education/Training Program Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 2018-04-06
1518462241 Sarah Hollyn Carlock Student in an Organized Health Care Education/Training Program Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 2018-03-26
1083118178 Claire Milam Student in an Organized Health Care Education/Training Program Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 2018-03-22
1811422256 Complete Care At Dartmouth LLC Skilled Nursing Facility 300 Province Road, Charlotte, NC 28207 2017-04-24
1063945467 Kaitlyn O'keefe Internal Medicine 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 2017-04-04
1811432024 Advanced Prosthetics of Easley, Inc Durable Medical Equipment & Medical Supplies 2310 Randolph Rd Ste A, Charlotte, NC 28207 2016-12-23
Find all providers in zip 28207

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871791301 Kathryn Lorann Davis Surgery 2001 Vail Ave Ste 320, Charlotte, NC 28207-1222 2007-07-05
1033141817 Charlotte Minimally Invasive Surgical Associates Pllc Surgery 330 Billingsley Road, Suite 210, Charlotte, NC 28211 2006-07-06
1164770913 Surgical Specialists of Charlotte, Pa-mercy Surgery 2001 Vail Ave, Suite 320, Charlotte, NC 28207-1100 2012-08-28
1790033728 Surgical Specialists of Charlotte, Pa-pineville Surgery 10512 Park Rd, Suite 101, Charlotte, NC 28210-8475 2012-08-23
1003164096 Surgical Specialists of Charlotte-university Surgery 101 E Wt Harris Blvd, Suite 5103, Charlotte, NC 28262-3485 2012-08-22
1285929539 Halim Yammine Surgery 1001 Blythe Blvd, Ste 300 - Cardiac Surgery, Charlotte, NC 28203-5866 2011-06-15
1750528758 Hector Crespo Soto Surgery 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 2009-01-13
1356507230 Charles Briggs Surgery 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 2008-07-31
1447454210 Erin Murphy Surgery 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 2007-06-13
1891917431 Peter Ford Surgery 7800 Providence Rd, Suite 209, Charlotte, NC 28226-2952 2007-05-03
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28207

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Dataset Information

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.

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