Brian Burtch (NPI# 1184745143, PAC ID# 8224192067) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1184745143 |
| PAC ID by PECOS | 8224192067 |
| Professional Enrollment ID | I20090122000778 |
| Full Name | Brian Burtch |
| Organization Legal Name | YOUR DIABETES ENDOCRINE NUTRITION GROUP, INC. |
| Address |
8300 Tyler Blvd Suite 102 Mentor OH 44060-4251 |
| Phone Number | 4402665000 |
| Gender | M |
| Medical School | OHIO MEDICAL UNIVERSITY |
| Graduation Year | 2002 |
| Primary Specialty | ENDOCRINOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6800927179 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360098 | LAKE HEALTH |
| 360125 | ASHTABULA COUNTY MEDICAL CENTER |
| 360192 | UH GEAUGA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8300 Tyler Blvd, Suite 102, Mentor, OH 44060-4251 | 4402665000 | YOUR DIABETES ENDOCRINE NUTRITION GROUP, INC. |
| Organization Legal Name | YOUR DIABETES ENDOCRINE NUTRITION GROUP, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Weiss | Endocrinology | Your Diabetes Endocrine Nutrition Group, Inc. | 8300 Tyler Blvd, Suite 102, Mentor, OH 44060-4251 |
| Street Address |
8300 TYLER BLVD SUITE 102 |
| City | MENTOR |
| State | OH |
| Zip | 44060-4251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Gale Winterer | Nurse Practitioner | Lake Hospital System, Inc. | 8300 Tyler Blvd, Suite 300, Mentor, OH 44060-4251 |
| Daniel Weiss | Endocrinology | Your Diabetes Endocrine Nutrition Group, Inc. | 8300 Tyler Blvd, Suite 102, Mentor, OH 44060-4251 |
| Martha Ellen Hackett | Family Medicine | 8300 Tyler Blvd, Suite 300, Mentor, OH 44060-4251 | |
| Diethra Diane Cox | Infectious Disease | 8300 Tyler Blvd, Suite 102, Mentor, OH 44060-4251 | |
| Annette Amelia Ciotti | Family Practice | Hackett Medical Ltd. | 8300 Tyler Blvd, Mentor, OH 44060-4251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don Martin | Psychologist, Clinical | 8472 Lake Shore Blvd, Mentor, OH 44060-1515 | |
| Vyacheslav Isakov | Family Medicine | 9150 Lake Shore Blvd, Mentor, OH 44060-1672 | |
| Gregory C Morris | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| Kari T Craig | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| James Stephen Washek | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| Katherine Long | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| Tina M Butt | Nurse Practitioner | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
| Carli A Carnish | Nurse Practitioner | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
| Mihaela Donca | Internal Medicine | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
| Christine Vavro | Clinical Social Worker | Crossroads Lake County Adolescent Counseling Services | 8445 Munson Rd, Mentor, OH 44060-2410 |
| Find all physicians in zip 44060 | |||
| City | MENTOR |
| Zip Code | 44060 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | MENTOR + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Brian Burtch.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.