Active NPI
Richard Burch, PA-C
- Physician Assistant
- Prince Frederick, MD
National Provider Identifier
1669655403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C03668
- Practice address
- 100 Hospital Rd
Prince Frederick, MD 20678-4017 - Phone
- (410) 535-8344
- NPI assigned
- Dec 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | C03668 | MD | Primary |
Addresses
Primary practice location
100 Hospital Rd
Prince Frederick, MD 20678-4017
Mailing address
3983 Old Washington Rd
Waldorf, MD 20602-3216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Joseph S. Fastow, M.D., P.a. | Past | Accepting new patients |
Locations
20010 Century Blvd
Ste 200
Germantown, MD 20874
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
MD
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Critical Access Hospital
- Prince Frederick, MD
- NPI 1861443103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1669655403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3983 OLD WASHINGTON RD",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784017",
"telephone_number": "410-535-8344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-17",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C03668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.