DR. EVERETT CARL BURGESS JR. (NPI# 1437261039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437261039 |
| Entity Type | Individual |
| Full Name | DR. EVERETT CARL BURGESS JR. |
| Credential | M.D. |
| Practice Address |
75 Arch St Ste 301 Akron OH 44304-1429 |
| Mailing Address |
2937 Ivanhoe Rd Silver Lake OH 44224-3011 |
| Practice Telephone | 3307628875 |
| Practice Fax Number | 3307622165 |
| Mailing Telephone | 3309234118 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35040675 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0343891 | 05 |
| Street Address |
75 ARCH ST STE 301 |
| City | AKRON |
| State | OH |
| Zip Code | 44304-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053885624 | Audrey Hoffmann | Physician Assistant | 75 Arch St Ste 301, Akron, OH 44304-1429 | 2019-01-17 |
| 1073996997 | Laura E Schemm | Physician Assistant | 75 Arch St Ste 301, Akron, OH 44304-1429 | 2015-07-09 |
| 1720398134 | Frank Aaron Gargasz | Clinical Nurse Specialist | 75 Arch St Ste 301, Akron, OH 44304-1429 | 2010-10-19 |
| 1588865075 | Ahmad Al-shoha | Internal Medicine | 75 Arch St Ste 301, Akron, OH 44304-1429 | 2007-05-30 |
| 1205958956 | Summa Physicians Inc | Physician Assistant | 75 Arch St Ste 301, Akron, OH 44304-1429 | 2007-04-04 |
| 1982724639 | Rachel Pascual Espiritu | Internal Medicine | 75 Arch St Ste 301, Akron, OH 44304-1429 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
| 1053940916 | Priyanka Malini Ravindran | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1467081349 | Savannah Chavez | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1255960357 | Nicholas Gilliam | Student in an Organized Health Care Education/Training Program | Summa Health/psychiatry 525 E. Market Street, Akron, OH 44304 | 2020-04-02 |
| 1184252462 | Megan Carlson Ptasinski | Student in an Organized Health Care Education/Training Program | Summa Health/obgyn, 525 East Market St., Akron, OH 44304 | 2020-03-31 |
| 1871121889 | Haley Marie Coleman | Student in an Organized Health Care Education/Training Program | Summa Health/ Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-03-27 |
| 1154963387 | Andrew Tkacik | Physician Assistant | 151 N Forge St, Akron, OH 44304 | 2019-10-09 |
| 1457918328 | Brandy Deem | Counselor | 87 N Forge St, Akron, OH 44304 | 2019-05-24 |
| 1184187445 | Zoe Nastasic Jones | Student in an Organized Health Care Education/Training Program | Summa Health 525 East Market St., Akron, OH 44304 | 2019-04-12 |
| 1780147751 | Nidhi Khullar | Student in an Organized Health Care Education/Training Program | Summa Health Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2019-04-08 |
| Find all providers in zip 44304 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134778673 | Elizabeth Czopp | Specialist | 11536 Clarence Center Rd, Akron, NY 14001-9746 | 2019-09-07 |
| 1992201800 | Reniece Larue Tatum | Specialist | 404 Storer Ave, Akron, OH 44320-2013 | 2018-04-01 |
| 1699121442 | Lindsay Nirschel | Specialist | 13029 Dorsch Rd, Akron, NY 14001-9226 | 2016-05-11 |
| 1003272253 | Jamie Dee Wagner | Specialist | 89 Westgay Dr Apt B, Akron, OH 44313-7364 | 2016-01-04 |
| 1225405418 | Herbert Earl Croft | Specialist | 1451 N Hametown Rd, Akron, OH 44333-1055 | 2015-08-24 |
| 1487043154 | Forever Ink | Specialist | 3257 Robins Trce, Akron, OH 44319-3885 | 2015-01-17 |
| 1205175486 | Amber Nacole Brandt | Specialist | 516 Canton Rd, Akron, OH 44312-2530 | 2013-02-07 |
| 1508117839 | April Frohwerk | Specialist | 1880 Canton Rd, Akron, OH 44312-4074 | 2012-09-26 |
| 1457601338 | Wendy Ann Yaeger | Specialist | 66 Eckerson Ave, Akron, NY 14001-1120 | 2012-09-18 |
| 1174884027 | Michelle Lynne Young | Specialist | 13275 Dorsch Rd, Akron, NY 14001-9575 | 2012-06-06 |
| Find all providers in AKRON | ||||
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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.