Craig G. Burkhart, M.D., Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35042675 Issued in OH

Legal business name

CRAIG G. BURKHART, M.D., INC.

Practice address

5600 Monroe St
BLDG B, Suite 106
Sylvania, OH 43560-2731

Phone

(419) 885-3403

Fax

(419) 885-3401

NPI assigned

Jul 26, 2006

Last updated

May 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig G Burkhart, M.D.NPI 1962405332

Title

Dermatologist

Phone

(419) 885-3403

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig G Burkhart, M.D.

  • Dermatology Physician
  • Sylvania, OH
  • NPI 1962405332
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1487677878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 MONROE ST",
            "address_2": "BLDG B, SUITE 106",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602731",
            "telephone_number": "419-885-3403",
            "fax_number": "419-885-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 MONROE ST",
            "address_2": "BLDG B, SUITE 106",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602731",
            "telephone_number": "419-885-3403",
            "fax_number": "419-885-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG G. BURKHART, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "BURKHART",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "419-885-3403",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35042675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000027630",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "298402332001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HEALTHCARE",
            "identifier": "00058",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI MEDICAID",
            "identifier": "1560520",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2809269",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seanique Lache Coston-Maddox
• Mackenzie Coughlan
• Beth A Courtright
• Linda L Cousino, LSW,
• Rose A. Cousino, MSW, LSW
• Amy Cramer, CNP
• Todd Prentice Crandell, LPCC, LCDCIII
• Megan Ashley Crippen, MD
• Lynette Crow, LISW-S
• Laura Anne Crowell

• Dermatology Physician in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.