BARRY BURCHETT, M.D. - NPI NUMBER 1114148665

Summary

Provider Name: BARRY BURCHETT, M.D.

NPI Number: 1114148665

Clasification: Emergency Medicine (207P00000X)

Address:
612 6TH AVE
HUNTINGTON, WV
ZIP 25701

Phone Number: (304) 525-4202



Detailed Information

Barry Burchett, M.D. is an emergency physician in Huntington, WV. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. The assigned NPI number for this provider is 1114148665 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

612 6TH AVE
HUNTINGTON, WV
ZIP 25701-104
Phone: (304) 525-4202
Fax: (304) 525-4231

The enumeration date for this NPI number is 5/1/2007 and was last updated on 7/8/2007.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207P00000X Emergency Medicine 2005034467 MO X
2 207P00000X Emergency Medicine 19127 KY X
3 207P00000X Emergency Medicine 19653 MS X
4 207P00000X Emergency Medicine IL X

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1114148665 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name BURCHETT
4 Provider First Name BARRY The first name of the provider, if the provider is an individual.
5 Provider Credential Text M.D. The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
6 Provider First Line Business Practice Location Address 612 6TH AVE The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name HUNTINGTON The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name WV The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 257012104 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 3045254202 The telephone number associated with the location address of the provider being identified.
12 Provider Business Practice Location Address Fax Number 3045254231 The fax number associated with the location address of the provider being identified.
13 Provider Enumeration Date 5/1/2007 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 7/8/2007 The date that a record was last updated or changed.
15 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
16 Healthcare Provider Taxonomy Code 1 207P00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
17 Provider License Number 1 2005034467 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
18 Provider License Number State Code 1 MO The last name of the provider. If the provider is an individual, this is the legal name.
19 Healthcare Provider Primary Taxonomy Switch 1 X
20 Healthcare Provider Taxonomy Code 2 207P00000X
21 Provider License Number 2 19127 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
22 Provider License Number State Code 2 KY The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
23 Healthcare Provider Primary Taxonomy Switch 2 X
24 Healthcare Provider Taxonomy Code 3 207P00000X
25 Provider License Number 3 19653 The city name in the location address of the provider being identified.
26 Provider License Number State Code 3 MS The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
27 Healthcare Provider Primary Taxonomy Switch 3 X
28 Healthcare Provider Taxonomy Code 4 207P00000X
29 Provider License Number State Code 4 IL The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
30 Healthcare Provider Primary Taxonomy Switch 4 X
31 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.