Provider Demographics
NPI:1528019221
Name:BURISHKIN, DANIEL CHAPMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CHAPMAN
Last Name:BURISHKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 PATTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806
Mailing Address - Country:US
Mailing Address - Phone:828-252-4878
Mailing Address - Fax:828-398-3576
Practice Address - Street 1:1201 PATTON AVENUE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806
Practice Address - Country:US
Practice Address - Phone:828-252-4878
Practice Address - Fax:828-398-3576
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12269207P00000X
NC25779207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8919983Medicaid
TNB04047Medicare UPIN
NC213154MMedicare UPIN