JOHN WILLIAM BURDESHAW (NPI# 1225678386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225678386 |
| Entity Type | Individual |
| Full Name | JOHN WILLIAM BURDESHAW |
| Practice Address |
3916 Valley Rd Columbus GA 31907-5657 |
| Practice Telephone | 7065933497 |
| Mailing Telephone | 7065933497 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
3916 VALLEY RD |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31907-5657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702051 | At Ease Private Home Care, LLC | Home Health | 3906 Pond View Court, Columbus, GA 31907 | 2020-05-20 |
| 1285268219 | Mh 102, PC | Nurse Practitioner | 1 Aflac Parkway, Columbus, GA 31907 | 2020-02-28 |
| 1427602978 | Alicia Keeshan Taylor | Massage Therapist | 5401 Gunboat Dr Unit 31, Columbus, GA 31907 | 2019-08-01 |
| 1285101071 | Valerie Rena Bickham | Chore Provider | 1259 Bismarck Drive, Columbus, GA 31907 | 2018-10-30 |
| 1629555172 | West Georgia Regenerative Medicine LLC | Physical Therapist | 3624 Edgewood Rd Ste B, Columbus, GA 31907 | 2018-07-26 |
| 1659866747 | Transitional Independence, LLC | In Home Supportive Care | 5633 Lexington Dr, Columbus, GA 31907 | 2018-06-29 |
| 1598285892 | Aa Personal Care, LLC | Nursing Care | 547 Moye Rd, Columbus, GA 31907 | 2017-06-27 |
| 1366981573 | Sabrina Renae Crosby Lopes | Counselor | 1120 21st Unit -a, Columbus, GA 31907 | 2017-02-21 |
| 1326445073 | Angela James | Nurse Practitioner | 6400 Flatrock Road, Columbus, GA 31907 | 2014-11-24 |
| 1841617255 | Sabrina Ann Patterson | Community Health Worker | 2726 Courtland, Columbus, GA 31907 | 2014-03-24 |
| Find all providers in zip 31907 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068692 | Ryan Bailey | Peer Specialist | 1576 Omar Dr, Columbus, OH 43207-2746 | 2020-09-22 |
| 1467062117 | Julie A Leach | Peer Specialist | 36 Santa Maria Ln, Columbus, OH 43213-1843 | 2020-08-07 |
| 1932739042 | Michael Stephen Barrett | Peer Specialist | 490 Forest St, Columbus, OH 43206-2316 | 2020-01-17 |
| 1942848619 | Jacqueline T Doodley | Peer Specialist | 2475 Perdue Ave, Columbus, OH 43211-1876 | 2019-12-12 |
| 1679114508 | Jacqueline Johnson | Peer Specialist | 773 Gilbert St, Columbus, OH 43206-1516 | 2019-10-02 |
| 1184275992 | Steven Sweatte | Peer Specialist | 311 Taylor Ave, Columbus, OH 43203-1757 | 2019-09-23 |
| 1184279671 | Anthony B Cook | Peer Specialist | 2834 S High St, Columbus, OH 43207-3660 | 2019-08-02 |
| 1801448717 | Cale Burke | Peer Specialist | 1796 Stilton Ave, Columbus, OH 43228-4574 | 2019-07-10 |
| 1326608043 | Erica N Tynes | Peer Specialist | 6370 Ambleside Dr Apt C, Columbus, OH 43229-1994 | 2019-06-14 |
| 1114586534 | Paul Kendall Vandoorn | Peer Specialist | 5500 Millersfield Dr Apt 104, Columbus, OH 43232-7765 | 2019-06-10 |
| Find all providers in COLUMBUS | ||||
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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.