James Burkhardt, DO
Individual provider Active NPI Family Medicine Physician · Piqua, OH
NPI 1396735296 · NPPES record last updated Jan 28, 2021
Key facts
- NPI
- 1396735296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34003949B (OH)
- Practice address
- 200 Kienle Dr
Piqua, OH 45356-4120 - Phone
- (937) 339-5355
- Fax
- (937) 773-9810
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003949B | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Valley Family Care, Inc | Family Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
200 Kienle Dr
Piqua, OH 45356
Phone (937) 339-5355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34003949B | OH | Yes |
Addresses
Primary practice location
200 Kienle Dr
Piqua, OH 45356-4120
Mailing address
200 Kienle Dr
Piqua, OH 45356-4120
Phone (937) 339-5355
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0631098 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jburkhardt165432@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
Other providers in Piqua, OH
- Ijzan Bruns
- Buckeye Forest at Piqua LLC
- Glenn A Buller
- Stephanie Ann Burdette
- Lauren Faith Burger
- Careatc
- Erin Carey
- Gavin Vance Carey
- Cheryl A Carter
- Cary Copeland DPM Inc
All providers in Piqua, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.