MEDICARE: DR. THOMAS ANDREW BURKHEAD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	35.136385	OH
2	207RI0200X	Infectious Disease Physician	56601	KY
3	207R00000X	Internal Medicine Physician	56601	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780110601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS ANDREW BURKHEAD M.D.

Provider Business Mailing Address
First Line	:	2123 AUBURN AVE STE A44
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2906
Country	:	US
Telephone Number	:	513-585-2791
Fax Number	:	513-585-3882

Provider Business Practice Location Address
First Line	:	2123 AUBURN AVE STE A44
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2906
Country	:	US
Telephone Number	:	513-585-2791
Fax Number	:	513-585-3882

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	02/13/2026

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