CHRISTY BURCH (NPI# 1548744725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548744725 |
| Entity Type | Individual |
| Full Name | CHRISTY BURCH |
| Credential | PA-C |
| Practice Address |
985 Prince Frederick Blvd Suite 201 Prince Frederick MD 20678-3492 |
| Mailing Address |
985 Prince Frederick Blvd. Suite 201 Prince Frederick MD 20678-3492 |
| Practice Telephone | 4105352005 |
| Practice Fax Number | 4105354850 |
| Mailing Telephone | 4104145329 |
| Mailing Fax Number | 4434323683 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0007476 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
985 PRINCE FREDERICK BLVD SUITE 201 |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-3492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881617587 | Tiffany Gaines | Nurse Practitioner | 985 Prince Frederick Blvd, Suite 201, Prince Frederick, MD 20678-3492 | 2006-07-25 |
| 1285860700 | Ramin Pirouz | Internal Medicine | 985 Prince Frederick Blvd, Suite 201, Prince Frederick, MD 20678 | 2009-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430709 | Danielle F Cox | Physician Assistant | 1005 Prince Frederick Blvd Ste 101, Prince Frederick, MD 20678-3195 | 2019-07-29 |
| 1295216240 | Taylor Edmond Stofft | Physician Assistant | 985 Prince Frederick Blvd., Suite 201, Prince Frederick, MD 20678-3492 | 2018-08-28 |
| 1326290511 | Deven J. Fetzek | Physician Assistant | 995 Prince Frederick Blvd Ste 204, Prince Frederick, MD 20678-5101 | 2008-10-21 |
| 1215900568 | Lori E. Maddox | Physician Assistant | 130 Hospital Rd Ste 101, Prince Frederick, MD 20678-4029 | 2006-02-08 |
| 1932614948 | Amanda Schmermund | Physician Assistant | 130 Hospital Rd Ste 101, Prince Frederick, MD 20678-4029 | 2017-12-13 |
| 1770837510 | Jessica Lynn Jones | Physician Assistant | 985 Prince Frederick Blvd Ste 201, Prince Frederick, MD 20678-3492 | 2012-11-01 |
| 1720338379 | Tammy J Zemke | Physician Assistant | 497 Main St, Prince Frederick, MD 20678-3189 | 2012-09-11 |
| 1679821268 | Amber L Spradlin | Physician Assistant | 80 Sherry Ln, Suite 101, Prince Frederick, MD 20678-3232 | 2012-08-29 |
| 1417285784 | Amy Elizabeth Larson | Physician Assistant | 130 Hospital Rd, Suite 101, Prince Frederick, MD 20678-4015 | 2009-11-25 |
| 1669655403 | Richard Burch | Physician Assistant | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2007-12-17 |
| Find all providers in PRINCE FREDERICK | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
Please comment or provide details below to improve the information on CHRISTY BURCH.
| 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.