MATTHEW TAYLOR BURGER (NPI# 1801390372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801390372 |
| Entity Type | Individual |
| Full Name | MATTHEW TAYLOR BURGER |
| Credential | MD |
| Practice Address |
3455 Johnette St Shreveport LA 71105-2027 |
| Practice Telephone | 4132180902 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193724 | Matthew Burger | Counselor | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2020-08-05 |
| 1639707102 | Matthew Burger | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2020-03-31 |
| 1063477362 | Matthew Jay Burger | Chiropractor | 35517 23 Mile Rd, New Baltimore, MI 48047-3603 | 2006-04-19 |
| 1932195856 | Matthew David Burger | Physician Assistant | 2580 Haymaker Rd, Suite #401, Monroeville, PA 15146-3518 | 2005-09-26 |
| Street Address |
3455 JOHNETTE ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| 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 |
|---|---|---|---|---|
| 1295344851 | Kavina Kamlesh Jani | Student in an Organized Health Care Education/Training Program | 2854 Long Lake Dr, Shreveport, LA 71106-8422 | 2020-07-29 |
| 1003444316 | Aya Mouhaffel | Student in an Organized Health Care Education/Training Program | 1501 King Hwy, Anesethesiology, Shreveport, LA 71130 | 2020-03-31 |
| 1538797410 | John Logan Sobiesk | Student in an Organized Health Care Education/Training Program | 534 Unadilla St, Shreveport, LA 71106-1240 | 2020-03-27 |
| 1679101638 | Brelynn Dianne Witty | Student in an Organized Health Care Education/Training Program | 629 Mccormick St, Shreveport, LA 71104-4905 | 2020-03-27 |
| 1801423751 | Darius Joseph Robinson | Student in an Organized Health Care Education/Training Program | 649 Rutherford St, Shreveport, LA 71104-4333 | 2020-03-23 |
| 1306308176 | Kabir Kashif Husain | Student in an Organized Health Care Education/Training Program | 1501 King Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2019-04-02 |
| 1871052209 | Harrison William Torres | Student in an Organized Health Care Education/Training Program | Ochsner Lsuhsc, Urology - 1501 Kings Highway, Shreveport, LA 71130-3932 | 2019-03-15 |
| 1689144461 | John W Ratliff | Student in an Organized Health Care Education/Training Program | Ochsner, 1501, Shreveport, LA 71130 | 2018-12-05 |
| 1942707096 | Nicholas Lyons Gilbert | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy # Surgery, Shreveport, LA 71103-4228 | 2018-04-06 |
| 1639670458 | Kristina Moore Stanfield | Student in an Organized Health Care Education/Training Program | 750 Ratcliff St, Shreveport, LA 71104-4912 | 2018-02-27 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on MATTHEW TAYLOR BURGER.
| 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.