| NPI | 1154570760 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-09-18 |
| Last Updated | 2010-11-09 |
| Mailing Address | 2257 Taylor Rd, Suite 200 Montgomery, AL 36117-7790 United States Phone: (334) 270-9914 | Fax: (334) 270-3195 📍 View Map |
| Primary Practice Address | 4712 Berry Blvd Montgomery, AL 36106-3080 United States Phone: (334) 834-3094 | Fax: (334) 263-0598 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363A00000X – Physician Assistant | AL | PA-593 |
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About NPI 1154570760
Ellen Shea Burch-Burkhalter PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1154570760. The primary specialty listed is Physician Assistant. The provider is located in Montgomery, AL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-09-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1154570760?
NPI 1154570760 belongs to Ellen Shea Burch-Burkhalter PA-C, a Physician Assistant in Montgomery, AL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1154570760 active?
The current status of NPI 1154570760 in the NPPES registry is Active. The record was last updated on 2010-11-09.
What specialty is NPI 1154570760?
NPI 1154570760 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1154570760?
You can verify NPI 1154570760 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1154570760?
The primary practice address on file for NPI 1154570760 is 4712 Berry Blvd, Montgomery, AL 36106-3080. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1154570760 issued?
NPI 1154570760 was first issued (enumerated) on 2008-09-18. The NPPES record was last updated on 2010-11-09.
Practice Location Map
Ellen Shea Burch-Burkhalter is located at 4712 Berry Blvd, Montgomery, AL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ellen Shea Burch-Burkhalter. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1154570760. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Physician Assistant | PA-593 | AL |