Active NPI
Frederick W Burgess, MD
- Anesthesiology Physician
- Keene, NH
National Provider Identifier
1508823477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 18782
- Practice address
- 590 Court Street
Dartmouth Hitchcock - Anesthesiology
Keene, NH 03431 - Phone
- (603) 354-5400
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | RI8414 | RI | |
| Anesthesiology Physician | 207L00000X | 18782 | NH | Primary |
Addresses
Primary practice location
590 Court Street
Dartmouth Hitchcock - Anesthesiology
Keene, NH 03431
Mailing address
590 Court Street
Dartmouth Hitchcock - Anesthesiology
Keene, NH 03431
Phone (603) 354-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7003508 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI8414 | RI | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1508823477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 COURT STREET",
"address_2": "DARTMOUTH HITCHCOCK - ANESTHESIOLOGY",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "603-354-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 COURT STREET",
"address_2": "DARTMOUTH HITCHCOCK - ANESTHESIOLOGY",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "603-354-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "FREDERICK",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "RI",
"license": "RI8414",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NH",
"license": "18782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7003508",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.