Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole M Burgbacher, PA

Individual provider Physician Assistant · NPI 1619908381

Nicole M Burgbacher, PA is a Physician Assistant in Dayton, Ohio. Qualified in 2000, 26 years ago. Practices with Orthopedic Associates of SW Ohio Inc, a 59-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
26
Licensed in
OH
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4160 Little York Rd Ste 10
Dayton, OH 45414-5800
Phone: (937) 415-9100
Fax: (937) 415-9191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50002158 (OH)

Record details

NPI number1619908381
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESSeptember 13, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Orthopedic Associates Of Sw Ohio Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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