Elizabeth Reed Burchard, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Providence, RI
NPI 1174595680 · NPPES record last updated Mar 31, 2021
Key facts
- NPI
- 1174595680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD13875 (RI)
- Practice address
- 297 Promenade St
Providence, RI 02908-5720 - Phone
- (401) 490-6464
- NPI assigned
- Feb 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern New England Healthcare for Women, LLC
Practice addresses (Care Compare)
297 Promenade St
Providence, RI 02908-5720
Phone (401) 490-6464
333 School St
Suite 205
Pawtucket, RI 02860-5336
Phone (401) 724-0600
Hospital & facility affiliations
- Women & Infants Hospital of Rhode Island
- Rhode Island Hospital
- Kent County Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120810000463 | RI | Practitioner - Obstetrics/Gynecology | 8022142512 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Southern New England Healthcare for Women, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Affinity Physicians LLC | Current |
Accepting new patients |
Locations
333 School St
Ste 205
Pawtucket, RI 02860
Phone (401) 724-0600
345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375
101 Dudley St
Providence, RI 02905
Phone (401) 453-7950
297 Promenade St
Providence, RI 02908
Phone (401) 490-6464
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- elizabeth.burchard.1@3516.direct.athenahealth.com
- eburchard@kent.cernerdirect.carene.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD13875 | RI | Yes |
Addresses
Primary practice location
297 Promenade St
Providence, RI 02908-5720
Mailing address
297 Promenade St
Providence, RI 02908-5720
Phone (401) 490-6464
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elizabeth.burchard.1@3516.direct.athenahealth.com |
Other providers in Providence, RI
- Vesna Buntak
- Evelyn M Buonaiuto
- Emily P Buor
- Deborah Burbank
- Andrew E Burchard
- Barney R Burchfield
- Michael D. Burgard
- Patricia Burger
- Jamie Lee Burgess
- Marta Burgos Rodriguez
All providers in Providence, RI · Obstetrics & Gynecology Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.