Active NPI
Diane Burgin, MD
- Family Medicine Physician
- Bedford, OH
National Provider Identifier
1710068622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35052864B
- Practice address
- 22750 Rockside Rd Ste 210
Bedford, OH 44146-1576 - Phone
- (216) 383-0100
- Fax
- (216) 383-6481
- NPI assigned
- Oct 18, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35052864B | OH | Primary |
Addresses
Primary practice location
22750 Rockside Rd Ste 210
Bedford, OH 44146-1576
Mailing address
PO Box 74568
Cleveland, OH 44194-0002
Phone (440) 735-2525
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 |
|---|---|---|---|
| 35052864B | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Practices Inc | Past | Accepting new patients | |
| University Hospitals Medical Practices Inc | Past | Accepting new patients | |
| University Primary Care Practices Inc | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1710068622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74568",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441940002",
"telephone_number": "440-735-2525",
"fax_number": "440-786-2729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22750 ROCKSIDE RD STE 210",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441461576",
"telephone_number": "216-383-0100",
"fax_number": "216-383-6481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGIN",
"first_name": "DIANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35052864B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.