NPIMap

Individual provider Active NPI

Richard S. Burgan, PA-C

  • Physician Assistant
  • Owensboro, KY
National Provider Identifier
1043324569
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA490 Issued in KY
Practice address
1301 Pleasant Valley Rd
Suite 202
Owensboro, KY 42303-9774
Phone
(270) 417-7500
Fax
(270) 417-7509
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA490 KY Primary

Addresses

Primary practice location

1301 Pleasant Valley Rd
Suite 202
Owensboro, KY 42303-9774

Mailing address

1301 Pleasant Valley Rd
Suite 202
Owensboro, KY 42303-9774
Phone (270) 417-7500

Other identifiers 1

IdentifierTypeStateIssuer
9500351300MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110613000681 KY Practitioner - Physician Assistant 7719164029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians

Practice addresses (Care Compare)

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

1301 Pleasant Valley Rd
Owensboro, KY 42303-9774

2211 Mayfair Dr
Owensboro, KY 42301-4569

PO Box
Suite 23229
Owensboro, KY 42304-3229

Hospital & facility affiliations

  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • Ohio County Hospital Hospital, Hartford, KY, CCN 181323
  • Owensboro Health Muhlenberg Community Hospital Hospital, Greenville, KY, CCN 180004
  • Perry County Memorial Hospital Hospital, Tell City, IN, CCN 151322
  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group, Inc CurrentSince May 21, 2011 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince May 21, 2011 Accepting new patients
Neurosurgical Consultants LLP Physician Assistant Past Accepting new patients
Neurosurgical Consultants LLP Physician Assistant PastSince Apr 26, 2003 Accepting new patients
Owensboro Health Medical Group, Inc Physician Assistant Past Accepting new patients

Locations

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
Phone (270) 417-7500

815 E Parrish Ave
Ste 150
Owensboro, KY 42303
Phone (270) 688-0808

2200 E Parrish Ave
Bldg D
Owensboro, KY 42303
Phone (270) 688-1770

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1043324569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PLEASANT VALLEY RD",
            "address_2": "SUITE 202",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039774",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLEASANT VALLEY RD",
            "address_2": "SUITE 202",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039774",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGAN",
        "first_name": "RICHARD",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9500351300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.