Active NPI
Christine Burchell, P.A.
- Physician Assistant
- Euclid, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50-000874
- Practice address
- 18901 Lake Shore Blvd
Euclid, OH 44119-1078 - Phone
- (216) 531-9000
- NPI assigned
- Apr 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50-000874 | OH | Primary |
Addresses
Primary practice location
18901 Lake Shore Blvd
Euclid, OH 44119-1078
Mailing address
36000 Euclid Ave
Mso
Willoughby, OH 44094
Phone (440) 953-6082
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0068559 | Medicaid | OH | |
| H346531 | Other | OH | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christine.burchell@lhpg.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50-000874 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Hospital System, Inc | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Lake Hospital System Inc | Current | Accepting new patients | |
| Lake Hospital System, Inc | Past | Accepting new patients |
Locations
11100 Euclid Ave
Cleveland Heights, OH 44106
7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899
25701 N Lakeland Blvd
Ste 305
Euclid, OH 44132
Phone (216) 731-5212
9500 Mentor Ave
Ste 200
Mentor, OH 44060
Phone (440) 205-5433
36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166
Interoperability endpoints
- cburchell28452@ehrdirect.uhhospitals.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1669499414
-
- Family Medicine Physician
- Middlefield, OH
- NPI 1952339996
-
dba Lake Health Urgent Care and Walk In Clinic
- Urgent Care Clinic/Center
- Chardon, OH
- NPI 1689634966
-
- Urgent Care Clinic/Center
- Madison, OH
- NPI 1134189376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1518132950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36000 EUCLID AVE",
"address_2": "MSO",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "44094",
"telephone_number": "440-953-6082",
"fax_number": "440-953-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18901 LAKE SHORE BLVD",
"city": "EUCLID",
"state": "OH",
"postal_code": "441191078",
"telephone_number": "216-531-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCHELL",
"first_name": "CHRISTINE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-28",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50-000874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0068559",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "H346531",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christine.burchell@lhpg.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Baseline West Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "9500 Mentor Avenue",
"address_2": "Suite 200",
"city": "Mentor",
"state": "OH",
"country_code": "US",
"postal_code": "44060",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.