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Jason Shade Burgess, MD
Vascular Surgery Physician in Charlotte, North Carolina
NPI 1043201361

Jason Shade Burgess is a Vascular Surgery Physician based in Charlotte, NC and is specialized in Vascular Surgery. Jason Shade Burgess practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Jason Shade Burgess is 1043201361 and holds a License No. 200200093 (North Carolina).

The current practice location address for Jason Shade Burgess is 2001 Vail Avenue, Charlotte, NC and can be reached out via phone at 704-333-0741 and via fax at 704-333-3356. You can also correspond with Jason Shade Burgess through the mailing address at PO BOX 33369, CHARLOTTE, NC - 28233-3369 (mailing address contact number: 704-364-8100).

Location: 2001 Vail Avenue, Charlotte, NC, 28233-3369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043201361
Provider Name
Jason Shade Burgess
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2001 Vail Avenue, Charlotte, NC, 28233-3369
Phone Number
704-333-0741
Fax Number
704-333-3356
Provider Enumeration Date
11/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2000396D 01 MEDICARE PIN FACULTY
891305A 05 NC
2000396 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
2001 Vail Avenue
City
Charlotte
State
North Carolina
Zip
28207-1107
Phone Number
704-333-0741
Fax Number
704-333-3356
person
Provider Business Mailing Address Details
Address
2001 Vail Avenue
City
Charlotte
State
North Carolina
Zip
28207-1107
Phone Number
704-333-0741
Fax Number
704-333-3356
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
200200093 (North Carolina)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
200200093 (North Carolina)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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