MICAH JARED BURNHAM DO
NPI 1417707274
Student in an Organized Health Care Education/Training Program in Roanoke, VA

Q: What is Micah Burnham's NPI number?

The NPI number for Micah Burnham is 1417707274. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Micah Burnham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Micah Burnham was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2024PECOS Enrolled

1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 981-7000 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Micah Jared Burnham Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICAH JARED BURNHAM DO (NPI 1417707274) is an individual student in an organized health care education/training program in Roanoke, Virginia and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417707274

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMICAH JARED BURNHAMCredential: DO

Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838

Mailing Address1064 Homestead Garden Ct Apt 4Forest, VA 24551-1485

Phone(540) 981-7000

Sole ProprietorNo

Enumeration DateMarch 25, 2024

NPPES CertifiedMarch 25, 2024

✔ NPI 1417707274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1906 BELLEVIEW AVE SE, Roanoke, VA 24014

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Micah Jared Burnham Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN K THOMPSON PA-C, ATC

Physician Assistant