KYLE BRIAN BURGHGRAEF (NPI# 1497286629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497286629 |
| Entity Type | Individual |
| Full Name | KYLE BRIAN BURGHGRAEF |
| Practice Address |
5030 N Walnut St South Bloomfield OH 43103-1018 |
| Mailing Address |
700 Childrens Dr Columbus OH 43205-2664 |
| Practice Telephone | 7409830015 |
| Practice Fax Number | 7409834763 |
| Mailing Telephone | 6147222000 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35139089 | OH | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
35139089 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0396565 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5030 N Walnut St, South Bloomfield, OH 431031018 | 7409830015 | 7409834763 |
| 700 Childrens Dr, Columbus, OH 432052664 | 6147224411 | 6147226132 |
| Street Address |
5030 N WALNUT ST |
| City | SOUTH BLOOMFIELD |
| State | OH |
| Zip Code | 43103-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306880695 | Jennifer M Marangoni | Physician Assistant | 5030 N Walnut St, South Bloomfield, OH 43103-1018 | 2006-06-16 |
| 1043466386 | Helping Hands Pediatric & Adolescent Medicine Inc. | Family Medicine | 5030 N Walnut St, South Bloomfield, OH 43103-1018 | 2008-08-18 |
| 1013131184 | Angela Marie Moore | Pediatrics | 5030 N Walnut St, South Bloomfield, OH 43103-1018 | 2007-04-12 |
| 1902906183 | Linda A Iskra-stevenson | Pediatrics | 5030 N Walnut St, South Bloomfield, OH 43103-1018 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104837830 | Natural Medicine,llc | Chiropractor | 3368 State Route 752, Suite 1, Ashville, OH 43103 | 2006-08-10 |
| 1083625172 | Gve Surgical Associates Inc | Specialist | 5034 N Walnut St, South Bloomfield, OH 43103-1018 | 2006-08-11 |
| 1386655462 | Jerry Gaines Purvis Jr. | Specialist | 5034 N Walnut St, South Bloomfield, OH 43103-1018 | 2006-08-11 |
| 1306443130 | Lana J Pollock | Home Health Aide | 5050 S Walnut St Lot 6, South Bloomfield, OH 43103-1079 | 2020-10-05 |
| 1831295443 | Pickaway Health Services | Family Medicine | 299 Main St W, Ashville, OH 43103-1218 | 2006-09-15 |
| 1760098396 | Mary Joann Mckinney | Homemaker | 200 Main St W, Ashville, OH 43103-1219 | 2020-09-18 |
| 1831628700 | Usa Ambulance | Ambulance | 78 Scioto St, Ashville, OH 43103-1244 | 2017-06-05 |
| 1154698546 | Jodi Danese Bauguess | Licensed Practical Nurse | 103 Scioto St S Lot 4, Ashville, OH 43103-1272 | 2011-11-29 |
| 1891906038 | Blaine Harris Conrad | Dentist | 22 Miller Ave, Ashville, OH 43103-1273 | 2007-05-26 |
| 1366812950 | Jessica Yim | Dentist | 22 Miller Ave, Ashville, OH 43103-1273 | 2015-09-25 |
| Find all providers in zip 43103 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013131184 | Angela Marie Moore | Pediatrics | 5030 N Walnut St, South Bloomfield, OH 43103-1018 | 2007-04-12 |
| 1902906183 | Linda A Iskra-stevenson | Pediatrics | 5030 N Walnut St, South Bloomfield, OH 43103-1018 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237968 | Greater Cleveland Pediatrics | Pediatrics | 3311 Richmond Rd, Beachwood, OH 44122-4195 | 2020-08-31 |
| 1528677085 | Mariam Khan | Pediatrics | 2277 Summit St, Columbus, OH 43202-3131 | 2020-07-30 |
| 1447879200 | Amy C Buck | Pediatrics | 30 Kim Ct W, Westerville, OH 43081-2554 | 2020-04-13 |
| 1376170381 | Kathleen Sibyl Kress Farrell | Pediatrics | 14701 Detroit Ave Ste 250, Lakewood, OH 44107-4109 | 2020-03-27 |
| 1710526702 | Rebecca K Cibik | Pediatrics | 2497 State Route 59, Kent, OH 44240 | 2019-12-23 |
| 1992354344 | Rouba Sayegh | Pediatrics | 315 Frankfort Sq, Columbus, OH 43206-1061 | 2019-09-09 |
| 1972164556 | Grace Nikolai | Pediatrics | 9000 N Main St Ste 332, Englewood, OH 45415-1185 | 2019-06-25 |
| 1376012393 | Ohio North East Health Systems, Inc | Pediatrics | 2642 State Route 5, Cortland, OH 44410-9393 | 2018-11-20 |
| 1477022606 | Anthony George Pucell | Pediatrics | 1120 Gordon Rd, Lyndhurst, OH 44124-1335 | 2018-11-16 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BLOOMFIELD |
| Zip Code | 43103 |
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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.