Active NPI
Thomas H Burwinkel, M.D.
- Reproductive Endocrinology Physician
- Kettering, OH
National Provider Identifier
1821182882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 35055519
- Practice address
- 3533 Southern Blvd
Suite 4100
Kettering, OH 45429-1264 - Phone
- (937) 395-8444
- Fax
- (937) 395-8455
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 3505519 | OH | |
| Reproductive Endocrinology Physician | 207VE0102X | 35055519 | OH | Primary |
Addresses
Primary practice location
3533 Southern Blvd
Suite 4100
Kettering, OH 45429-1264
Mailing address
3805 Edwards Rd Ste 450
Cincinnati, OH 45209-1948
Phone (513) 924-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 905724E | Other | AMERICAN BD. OF OBGYN |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3505519 | OH | MD | Reproductive Endocrinology Physician |
| 35055519 | OH | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Institute for Reproductive Health | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Reproductive Endocrinology Physician
- Cincinnati, OH
- NPI 1770748212
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1821182882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 EDWARDS RD STE 450",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452091948",
"telephone_number": "513-924-5550",
"fax_number": "513-924-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 SOUTHERN BLVD",
"address_2": "SUITE 4100",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291264",
"telephone_number": "937-395-8444",
"fax_number": "937-395-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURWINKEL",
"first_name": "THOMAS",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "OH",
"license": "3505519",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "OH",
"license": "35055519",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BD. OF OBGYN",
"identifier": "905724E",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.