Active NPI
Andrew Lee Burleson, ARRT(R)(CT)
- Computed Tomography Radiologic Technologist
- Crab Orchard, WV
National Provider Identifier
1831347285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Computed Tomography Radiologic Technologist
- License
- 3281
- Practice address
- 407 Washington Ave
Crab Orchard, WV 25827-9598 - Phone
- (304) 252-4785
- NPI assigned
- Aug 28, 2008
- Last updated
- Aug 28, 2008
- 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 |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | 3281 | WV | Primary |
| Radiography Radiologic Technologist | 2471C3402X | 3281 | WV |
Addresses
Primary practice location
407 Washington Ave
Crab Orchard, WV 25827-9598
Mailing address
407 Washington Ave
Crab Orchard, WV 25827-9598
Phone (304) 252-4785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3281 | Other | WV | STATE OF WEST VIRGINIA MEDICAL IMAGING AND RADIATION THERAPY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3281 | WV | MD | Radiography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1831347285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 WASHINGTON AVE",
"city": "CRAB ORCHARD",
"state": "WV",
"postal_code": "258279598",
"telephone_number": "304-252-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 WASHINGTON AVE",
"city": "CRAB ORCHARD",
"state": "WV",
"postal_code": "258279598",
"telephone_number": "304-252-4785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURLESON",
"first_name": "ANDREW",
"middle_name": "LEE",
"credential": "ARRT(R)(CT)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-28",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "WV",
"license": "3281",
"primary": true
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "WV",
"license": "3281",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WEST VIRGINIA MEDICAL IMAGING AND RADIATION THERAPY",
"identifier": "3281",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crab Orchard, WV
- Kaitlin Ann Blackburn, RN
- Brooke Blankenship, MSW,LSW
- Bethany Jasmine Boland
- Krystal Lynn Boland
- Samuel Brewer
- Community Health Systems Inc (AccessHealth)
- Sarah Nicole Cooper, BSW, LSW
- Crab Orchard Medical Assoc. Inc.
- Crab Orchard Medical Assoc. Inc.
- Crab Orchard Pharmacy Inc (Crab Orchard Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.