Ada Kathleen Burgoyne, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1093 Issued in WV

Practice address

162 Middletown Rd
Fairmont, WV 26554-8104

Phone

(304) 534-7150

Fax

(304) 368-9558

NPI assigned

Jul 29, 2022

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1407582612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 MIDDLETOWN RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548104",
            "telephone_number": "304-534-7150",
            "fax_number": "304-368-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MIDDLETOWN RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548104",
            "telephone_number": "304-534-7150",
            "fax_number": "304-368-9558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Chenoweth Dr",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263301885",
            "country_code": "US",
            "telephone_number": "304-842-1060",
            "fax_number": "681-456-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGOYNE",
        "first_name": "ADA",
        "middle_name": "KATHLEEN",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WV",
            "license": "1093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Bunch
• Shelley Burchard
• Burdette Family Chiropractic and Wellness Center, Inc.
• Amy Burdette, M.A., LPC
• Lawrence Wilson Burdette III, D.C.
• Ramona Lue Burnett, PT
• Jane Burns
• Jason Burns, BA
• Yasmine Burrell
• Charles D Burtner, MD

• Hearing Instrument Specialist in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Hearing Instrument Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.