BURGESS HEALTH ASSOCIATES, LLC (NPI# 1801921630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801921630 |
| Entity Type | Organization |
| Organization Name | BURGESS HEALTH ASSOCIATES, LLC |
| Other Organization Name | HEALTHTRAC |
| Practice Address |
460 Smith St Middletown CT 06457-1594 |
| Mailing Address |
4950 Genesee St Suite 180 Buffalo NY 14225-5550 |
| Practice Telephone | 8606328000 |
| Practice Fax Number | 8606328008 |
| Mailing Telephone | 7166143260 |
| Mailing Fax Number | 7166143282 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-08-15 |
| Authorized Official Name | ALAN ROBINSON (PRESIDENT) |
| Authorized Official Telephone | 7166143285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | HEALTHNET | CV6643 | 01 |
| CT | CONNECTICARE | 916152 | 01 |
| CT | EVERCARE | 16-01778 | 01 |
| Other Name | Type Code |
|---|---|
| HealthTrac | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184650830 | Burgess Health Associates, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 460 Smith St, Middletown, CT 06457-1594 | 2006-06-24 |
| Street Address |
460 SMITH ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-1594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184650830 | Burgess Health Associates, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 460 Smith St, Middletown, CT 06457-1594 | 2006-06-24 |
| 1538584180 | Andrea B. Maule LLC | Counselor | 460 Smith St, Suite L, Middletown, CT 06457-1594 | 2014-02-19 |
| 1003230012 | One Piece of The Puzzle, LLC | Community/Behavioral Health | 460 Smith St, Suite L, Middletown, CT 06457-1594 | 2014-02-11 |
| 1750710927 | Andrea B. Maule | Counselor | 460 Smith St, Suite L, Middletown, CT 06457-1594 | 2013-11-07 |
| 1114265378 | Erin Eickenhorst Lpc | Counselor | 460 Smith St, Suite L, Box 3, Middletown, CT 06457-1594 | 2013-01-23 |
| 1265662837 | Cameron Counseling Services | Social Worker | 460 Smith St, Suite L, Middletown, CT 06457-1594 | 2009-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649787029 | Emil Danailov | Radiology | 373 South St, Plymouth, CT 06782-2421 | 2018-01-06 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| 1396779237 | Advanced Mobile Imaging, LLC | Radiology | 75 New Haven Ave, Milford, CT 06460-4854 | 2006-07-10 |
| 1023501558 | A-group Imaging LLC | Radiology | 48 New St, Wilton, CT 06897-4919 | 2018-06-09 |
| 1003303272 | Michelle Queena Day | Radiology | 950 Campbell Ave, West Haven, CT 06516-2770 | 2018-04-13 |
| 1053462192 | Radiology Associates of Hartford PC | Radiology | 500 Blue Hills Ave, Hartford, CT 06112-1500 | 2007-01-16 |
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on BURGESS HEALTH ASSOCIATES, LLC.
| 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.