P.O.Burgan M.D. Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

01023827A Issued in IN

Legal business name

P.O.BURGAN M.D. INC.

Practice address

303 N Forest Dr
Kokomo, IN 46901-4254

Phone

(765) 438-6611

Fax

(765) 456-3414

NPI assigned

Apr 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Phil Owen Burgan, M.D.

Title

President

Phone

(765) 438-1647

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1386064376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N FOREST DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014254",
            "telephone_number": "765-438-6611",
            "fax_number": "765-456-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N FOREST DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014254",
            "telephone_number": "765-438-6611",
            "fax_number": "765-456-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.O.BURGAN M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "BURGAN",
        "authorized_official_first_name": "PHIL",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-438-1647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IN",
            "license": "01023827A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L. Ousley, MPT
• Nickole Ousley, RBT
• Amanda C Owens, PHARMD
• Lisa Diane Owens, FNP
• Latasha Shamay Owensby, CNA/HHA/MA
• Joanna Pace, RBT
• Nikki A Packer, MS,OT/L
• Amy Padfield
• Rebekah Pagan, RBT
• Glenn Panzarella, RBT

• Voluntary or Charitable Agency in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Voluntary or Charitable Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.