Organization Active NPI

Burgess Health Associates, LLC

  • Diagnostic Ultrasound Physician
  • Middletown, CT
National Provider Identifier
1801921630
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
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

Updated by the provider on Aug 15, 2007

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)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
16-01778OtherCTEVERCARE
916152OtherCTCONNECTICARE
CV6643OtherCTHEALTHNET

Other names 1

  • HealthTrac Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.