Walter L Burgan III

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

4024 Mount Eaton Rd
Orrville, OH 44667-9024

Phone

(330) 603-8300

NPI assigned

Dec 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1093310104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 MOUNT EATON RD",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "446679024",
            "telephone_number": "330-603-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 MOUNT EATON RD",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "446679024",
            "telephone_number": "330-603-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGAN III",
        "first_name": "WALTER",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Brenneman, LPN
• Katie Mae Brenner, D.O.
• Douglas R Brown, D.O.
• Patricia Ann Brown
• Donna Jean Bunner
• Candice Calame, PHARMD
• Sean Michael Camp, D.C.
• Sierra Carraway, LSW
• Donna Kay Casto
• James Nathaniel Chambers, PTA

• Non-emergency Medical Transport (VAN) in Orrville, OH
• Providers in Orrville, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.