Beth Michelle Burghardt, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

185289 Issued in NY

Practice address

5100 W Taft Rd
Suite 4L
Liverpool, NY 13088-3807

Phone

(315) 452-2124

Fax

(315) 452-2128

NPI assigned

Feb 3, 2006

Last updated

Jun 19, 2008By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crouse Hospital Hospital, Syracuse, NY, CCN 330203

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: beth.burghardt.1@21144.direct.athenahealth.com
• Direct secure messaging: bethcadyburqhardt@hiemail.healtheconnections.org
• FHIR API: https://api.platform.athenahealth.com/21144/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beth Cady Burghardt MD PC

  • Otolaryngology Physician
  • Liverpool, NY
  • NPI 1861609042
  Medicare reassignment NPD Authorized official
• Ear Consultants of Central New York, PLLC

  • Otolaryngology Physician
  • Syracuse, NY
  • NPI 1881615862
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743
  Care Compare affiliation

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1568434454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "SUITE 4L",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-452-2124",
            "fax_number": "315-452-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "SUITE 4L",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-452-2124",
            "fax_number": "315-452-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGHARDT",
        "first_name": "BETH",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "185289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01413107",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS PIN",
            "identifier": "61719913",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriana Valentyna Buniak
• Borys Buniak, MD
• Nicholas Borys Buniak, MD
• William Ivan Buniak, DO
• Carrie P. Burd, LPN
• Patricia F Burke, L.P.N
• Crystal A Burns
• Kelley Beth Burt, M.S., CCC-SLP
• Gregory Allen Bush
• Lorraine Ann Bushnell, LPN

• Otolaryngology Physician in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.