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

Thomas Burcham

Individual provider Case Manager/Care Coordinator · NPI 1265021539

Thomas Burcham is a Nurse Practitioner in Dayton, Ohio. Qualified in 2022, 4 years ago. Practices with Eastway Corporation, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2611 Wayne Ave
Dayton, OH 45420-1833
Phone: (937) 929-9085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0037969 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1265021539
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address2611 Wayne Ave, Dayton, OH 45420-1833

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Eastway Corporation — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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