Active NPIIndividual providerSole proprietor

Samuel O Burt, CRNA

Nurse Anesthetist, Certified Registered in Charlottesville, Virginia

NPI Number1942715412
Practice location
1139 E High St Ste 203, Charlottesville, VA 22902-4849
Fax
434-817-8490
Last updated
April 25, 2025

Samuel O Burt is a Nurse Anesthetist, Certified Registered based in Charlottesville, VA. Samuel O Burt practices in Charlottesville, VA and has the professional credentials of CRNA. The NPI Number for Samuel O Burt is 1942715412 and holds a License No. 240773 (AZ). The current practice location address for Samuel O Burt is 1139 E High St Ste 203, Charlottesville, VA 22902-4849 and can be reached out via phone at 434-817-8484 and via fax at 434-817-8490.

Provider Profile Details

NPI Number
1942715412
Provider Name
Samuel O Burt
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
1139 E High St Ste 203, Charlottesville, VA 22902-4849
Phone Number
434-817-8484
Fax Number
434-817-8490
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Provider Enumeration Date
December 6, 2017
Last Update Date
April 25, 2025
Certification Date
April 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1139 E High St Ste 203
Charlottesville, VA 22902-4849
Zip
22902-4849
Phone Number
434-817-8484
Fax Number
434-817-8490
Charlottesville, VA 22902Get directions →

Provider Business Mailing Address Details

Address
7746 S 164TH Dr
Goodyear, AZ 85338-5836
City
Goodyear
State
AZ
Zip
85338-5836

License Information

License Number (1)
240773
License State (1)
AZ
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (2)
076895-21
License State (2)
NH
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (3)
0024190708
License State (3)
VA
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samuel O Burt, CRNA?

The NPI number of Samuel O Burt, CRNA is 1942715412. It was assigned on December 6, 2017 and is currently active in the NPPES registry.

What is the specialty of Samuel O Burt, CRNA?

Samuel O Burt, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in AZ under license number 240773.

Where does Samuel O Burt, CRNA practice?

The practice location is 1139 E High St Ste 203, Charlottesville, VA 22902-4849. The office can be reached at 434-817-8484 (phone) or 434-817-8490 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942715412 directly on the NPPES registry website.

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