Michelle L Burch, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35123342 Issued in OH

Practice address

5502 Dixie Hwy
Fairfield, OH 45014-4297

Phone

(513) 874-9460

Fax

(513) 874-5731

NPI assigned

Apr 11, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Michelle L Beitzel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Associates of Fairfield, Inc

  • Pediatrics Physician
  • Fairfield, OH
  • NPI 1194844746
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1861782922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 DIXIE HWY",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144297",
            "telephone_number": "513-874-9460",
            "fax_number": "513-874-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 DIXIE HWY",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144297",
            "telephone_number": "513-874-9460",
            "fax_number": "513-874-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35123342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104876",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BEITZEL",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Jean Buehler, BSN, RN, NCSN
• Sean G Buffington, SWT
• Bullock Dialysis LLC
• Adrienne Bullock
• Barbara Jean Bunting, MSN, RN, ANP-BC
• Jefferson M Burroughs, MD
• Angela Marie Burton, LPN
• Butler County Community Health Consortium, Inc.
• Butler County Community Health Consortium, Inc.
• Graderiah La'Tifah Butler, LPN

• Pediatrics Physician in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.