Provider Demographics
NPI:1487615068
Name:BURGER, WILLIAM (CRNA)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:BURGER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1861 POWDER MILL RD
Mailing Address - Street 2:ATTN MSO
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4723
Mailing Address - Country:US
Mailing Address - Phone:717-718-2000
Mailing Address - Fax:717-747-2102
Practice Address - Street 1:1861 POWDER MILL RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4723
Practice Address - Country:US
Practice Address - Phone:717-718-2000
Practice Address - Fax:717-718-3460
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN508918L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50055749OtherKEYSTONE HEALTH PLAN CENTRAL
PA106581OtherGEISINGER
PA7727556OtherAETNA-NON HMO
PA1147562OtherAETNA-HMO
PA50055749OtherCAPITAL BLUE CROSS
PA001374083OtherHIGHMARK
PA2066309000OtherINDEPENDENCE BLUE CROSS
PA430071336OtherRR MEDICARE
PA044475Medicare ID - Type Unspecified