Lance Burgess, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0005267 Issued in MD

Practice address

8100 Sandpiper Cir
Suite 210
Nottingham, MD 21236-4991

Phone

(443) 693-7246

Fax

(866) 442-5401

NPI assigned

Nov 5, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Smart Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Owings Mills, MD
  • NPI 1114344280
  NPD (past)

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1235568817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 MCDONOGH RD",
            "address_2": "SUITE 201",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175273",
            "telephone_number": "443-693-7246",
            "fax_number": "866-902-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 SANDPIPER CIR",
            "address_2": "SUITE 210",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364991",
            "telephone_number": "443-693-7246",
            "fax_number": "866-442-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "LANCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-05",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Buhl
• Lucy Bull
• John R Bullinger, PHARMD
• Rubelyn Bumalo
• Alexandra Lynn Burch, PTA
• Chelsea Burley
• Faith Burns
• Emily Ames Burr, NP
• Jordan Burris
• Lauren Anne Busky, RD, LDN

• Physician Assistant in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.