Individual
DR. WILLIAM CHARLES BURGETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6810 PERIMETER DR STE 200, DUBLIN, OH 43016-8013
(614) 827-8700
(614) 827-8701
Mailing address
340 POLARIS PKWY, WESTERVILLE, OH 43082-7971
(614) 545-7900
(614) 545-7901
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34.010419
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
34-01-0419
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001133176
ANTHEM
OH
05
—
0136604
—
OH
01
—
H375521
MEDICARE (OHIOHEALTH)
OH
Enumeration date
03/24/2009
Last updated
01/06/2025
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