Individual provider Active NPI

Joanne Burcher, MD

  • Occupational Medicine Physician
  • Longmeadow, MA
National Provider Identifier
1205252582
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
050467 Issued in CT
Practice address
216 Ellington Rd
Provider Enrollment
Longmeadow, MA 01106-1510
Phone
(413) 244-2829
NPI assigned
Mar 11, 2014
Last updated
Mar 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 050467 CT Primary

Addresses

Primary practice location

216 Ellington Rd
Provider Enrollment
Longmeadow, MA 01106-1510

Mailing address

216 Ellington Rd
Provider Enrollment
Longmeadow, MA 01106-1510
Phone (413) 244-2829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141219000396 CT Practitioner - Preventive Medicine 2264755479
I20190802002859 MA Practitioner - Family Practice 2264755479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
050467CTMDOccupational Medicine Physician
262720MAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1205252582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ELLINGTON RD",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061510",
            "telephone_number": "413-244-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 ELLINGTON RD",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061510",
            "telephone_number": "413-244-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHER",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CT",
            "license": "050467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.