KETCHUM WOOD & BURGERT CHARTERED DRS KETCHUM WOOD & BURGERT
NPI 1821060898
Pathology - Anatomic Pathology & Clinical Pathology in Tallahassee, FL

Active since February 03, 2006
1899 EIDER CT, TALLAHASSEE, FL 32308(850) 878-5143(850) 942-6622 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert NPPES

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

KETCHUM WOOD & BURGERT CHARTERED DRS KETCHUM WOOD & BURGERT (NPI 1821060898) is a healthcare organization registered as an anatomic pathology & clinical pathology in Tallahassee, Florida and active in the NPI registry since February 2006. The organization lists Angela Fuqua, Administrator, as its authorized official.

NPPES Registry Identity

NPI1821060898
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameKETCHUM WOOD & BURGERT CHARTERED DRS KETCHUM WOOD & BURGERT
Location Address1899 EIDER CTTallahassee, FL 32308-4537
Mailing Address1899 Eider CtTallahassee, FL 32308-4537 · (850) 878-5143 · Fax (850) 942-6622
Fax(850) 942-6622
Organization SubpartYes
Authorized OfficialAngela FuquaAdministrator · (850) 219-7603
Enumeration DateFebruary 3, 2006
Last NPPES UpdateMay 15, 2020
NPPES CertifiedMay 15, 2020
✔ NPI 1821060898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in FL · 800000042
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1899 EIDER CT, Tallahassee, FL 32308

Other Identifiers 3

Other00018FL · Bc/bs Hospital Based Serv
Medicaid030063201FL
OtherCF6643FL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.

Clinicians, nearest first (10)

Pathology
NPI 1093126930
1899 EIDER CT
Tallahassee, FL 32308
(850) 878-5143
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1245670082
1899 EIDER CT
Tallahassee, FL 32308
(850) 878-5143
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1346440690
1899 EIDER CT
Tallahassee, FL 32308
(850) 878-5143
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1457379992
1899 EIDER CT
Tallahassee, FL 32308
(850) 878-5143
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1659342798
1899 EIDER CT
Tallahassee, FL 32308
(850) 878-5143
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1225008667
1899 EIDER CT
Tallahassee, FL 32308
(850) 878-5143
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1790105591
1899 EIDER CT
Tallahassee, FL 32308
(850) 878-5143
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1619060787
1899 EIDER CT
Tallahassee, FL 32308
(850) 219-7640
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1174936090
1899 EIDER CT
Tallahassee, FL 32308
(850) 878-5143
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1164927323
1425 PORTLAND AVE
Rochester, NY 14621
(585) 922-4121
✔ PECOS✔ Accepts Medicare950 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert's NPI number?

The NPI number for Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert is 1821060898. It was assigned to this organization in the NPPES registry on February 3, 2006.

Where is Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert located?

Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert is located at 1899 Eider Ct, Tallahassee, FL 32308. The listed phone number is (850) 878-5143.

What is Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert enrolled in Medicare?

Yes. Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Pathology, reassign their Medicare billing to Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert accept?

Health plans from Wellpoint list Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.