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

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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
1 NPI 1114148665
2 Entity Type Code 1
3 Provider Last Name Legal Name BURCHETT
4 Provider First Name BARRY
5 Provider Credential Text M.D.
6 Provider First Line Business Practice Location Address 612 6TH AVE
7 Provider Business Practice Location Address City Name HUNTINGTON
8 Provider Business Practice Location Address State Name WV
9 Provider Business Practice Location Address Postal Code 257012104
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 3045254202
12 Provider Business Practice Location Address Fax Number 3045254231
13 Provider Enumeration Date 5/1/2007
14 Last Update Date 7/8/2007
15 Provider Gender Code M
16 Healthcare Provider Taxonomy Code 1 207P00000X
17 Provider License Number 1 2005034467
18 Provider License Number State Code 1 MO
19 Healthcare Provider Primary Taxonomy Switch 1 X
20 Healthcare Provider Taxonomy Code 2 207P00000X
21 Provider License Number 2 19127
22 Provider License Number State Code 2 KY
23 Healthcare Provider Primary Taxonomy Switch 2 X
24 Healthcare Provider Taxonomy Code 3 207P00000X
25 Provider License Number 3 19653
26 Provider License Number State Code 3 MS
27 Healthcare Provider Primary Taxonomy Switch 3 X
28 Healthcare Provider Taxonomy Code 4 207P00000X
29 Provider License Number State Code 4 IL
30 Healthcare Provider Primary Taxonomy Switch 4 X
31 Is Sole Proprietor N

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This page was last updated on: 11/14/2014
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.