Active NPI
Burgess Health Associates, LLC
- Diagnostic Ultrasound Physician
- Middletown, CT
National Provider Identifier
1801921630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- BURGESS HEALTH ASSOCIATES, LLC
- Doing business as
- HealthTrac
- Practice address
- 460 Smith St
Middletown, CT 06457-1594 - Phone
- (860) 632-8000
- Fax
- (860) 632-8008
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Robinson
- Title
- President
- Phone
- (716) 614-3285
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | Primary |
Addresses
Primary practice location
460 Smith St
Middletown, CT 06457-1594
Mailing address
4950 Genesee St
Suite 180
Buffalo, NY 14225-5550
Phone (716) 614-3260
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16-01778 | Other | CT | EVERCARE |
| 916152 | Other | CT | CONNECTICARE |
| CV6643 | Other | CT | HEALTHNET |
Other names 1
- HealthTrac
National Provider Directory
National Provider DirectoryLocations
440 Smith St
Middletown, CT 06457
Phone (716) 614-3250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187136000000",
"number": "1801921630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 GENESEE ST",
"address_2": "SUITE 180",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142255550",
"telephone_number": "716-614-3260",
"fax_number": "716-614-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 SMITH ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064571594",
"telephone_number": "860-632-8000",
"fax_number": "860-632-8008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURGESS HEALTH ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2007-08-15",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-614-3285"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "16-01778",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "916152",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "CV6643",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthTrac",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.