JERRY BURDEN (NPI# 1407317837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407317837 |
| Entity Type | Individual |
| Full Name | JERRY BURDEN |
| Credential | PA-S |
| Practice Address |
413 Foxgate Ct Chesapeake VA 23322-5783 |
| Practice Telephone | 7575891589 |
| Mailing Telephone | 7575891589 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
413 FOXGATE CT |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23322-5783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986347 | Center for Visual Surgical Excellence, LLC | Clinic/Center | 208 Carmichael Way, Chesapeake, VA 23322 | 2019-05-03 |
| 1235648213 | Sarah Nagy | Specialist/Technologist | 205 Rountree Drive, Chesapeake, VA 23322 | 2017-09-22 |
| 1629590286 | Jack Beverly Harris Jr. | Contractor | 156 Greengable Way, Chesapeake, VA 23322 | 2017-07-14 |
| 1528597911 | Sara Osborne | Speech-Language Pathologist | 404 Mike Trail, Chesapeake, VA 23322 | 2017-06-08 |
| 1194100198 | Kerry Maldiner | Marriage & Family Therapist | 501 Cedar Rd Ste 2c, Chesapeake, VA 23322 | 2015-07-21 |
| 1619361532 | Kathryn Restaino | Student in an Organized Health Care Education/Training Program | 705 Forest Mills Rd, Chesapeake, VA 23322 | 2015-03-28 |
| 1083037212 | Kenneth E. Grindlay | Dentist | 228 Mount Pleasant Rd., Chesapeake, VA 23322 | 2014-01-23 |
| 1841538006 | Karen Mcquarrie | Behavioral Analyst | 1200 Jamaica Avenue, Chesapeake, VA 23322 | 2013-01-23 |
| 1255615886 | Vera Roberts Jackson | Pharmacist | 321 Battlefield Blvd. South, Chesapeake, VA 23322 | 2011-09-30 |
| 1669754628 | Jacqueline Dungan | Pharmacist | 201 Hanbury Road E, Chesapeake, VA 23322 | 2011-09-15 |
| Find all providers in zip 23322 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215556634 | David Michael Mecka | Student in an Organized Health Care Education/Training Program | 1300 Damyien Arch, Chesapeake, VA 23320-5110 | 2020-04-15 |
| 1306475082 | Stephanie Lynne Amick | Student in an Organized Health Care Education/Training Program | 2643 Lake Ridge Xing, Chesapeake, VA 23323-3324 | 2020-04-05 |
| 1992331094 | Russfir Librado | Student in an Organized Health Care Education/Training Program | 1813 Tealwood Ln, Chesapeake, VA 23320-0638 | 2020-03-20 |
| 1740816834 | Chessy Marie Dintruff | Student in an Organized Health Care Education/Training Program | 2908 Big Bend Dr, Chesapeake, VA 23321-6148 | 2020-03-20 |
| 1316570518 | Angela Nichole Whiteside | Student in an Organized Health Care Education/Training Program | 1306 Fairways Lookout Apt A, Chesapeake, VA 23320-1104 | 2020-02-16 |
| 1760014153 | Jessica Grace Staples | Student in an Organized Health Care Education/Training Program | 644 Mill Landing Rd, Chesapeake, VA 23322-8330 | 2020-02-04 |
| 1346885746 | Marianne Kellam | Student in an Organized Health Care Education/Training Program | 1877 Ames Cir W, Chesapeake, VA 23321-3542 | 2019-11-10 |
| 1871054205 | Jessica Luckado Caveny | Student in an Organized Health Care Education/Training Program | 4003 River Breeze Cir, Chesapeake, VA 23321-3175 | 2019-03-28 |
| 1346701778 | Kyle Spanik | Student in an Organized Health Care Education/Training Program | 2021 Dawnee Brook Trl N, Chesapeake, VA 23320-7499 | 2019-03-28 |
| 1841755808 | Sara Herold | Student in an Organized Health Care Education/Training Program | 577 Margaret Dr, Chesapeake, VA 23322-1314 | 2019-02-04 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23322 |
Please comment or provide details below to improve the information on JERRY BURDEN.
| 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.