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

Rebecca M. Burgoon, PA

Individual provider Physician Assistant · NPI 1013233055

Rebecca M. Burgoon, PA is a Physician Assistant in Sylvania, Ohio. Licensed in Michigan and Ohio. Registered with an NPI since 2010.

Licensed in
MI, OH
In the registry since
2010
Specialties on file
2
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

5700 Monroe St Unit 103
Sylvania, OH 43560-2771
Phone: (419) 843-7996
Fax: (419) 841-7704
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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 50.003035 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 5601007063 (MI)

Record details

NPI number1013233055
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 15, 2010
Last updated in NPPESNovember 3, 2023
Certification dateJanuary 28, 2020

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