Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert

Clinical Medical Laboratory in Tallahassee, FL · enumerated 2006 · authorized official Angela Fuqua, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558335869

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Registry record

Entity type Organization (Type 2)

Legal business name Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert

Practice address 1899 Eider Ct, Tallahassee, FL, 32308

Phone (850) 878-5143

Fax (850) 942-6622

Enumeration date Feb 14, 2006

Last updated in NPPES May 15, 2020

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories · License 800000042 (FL) Primary

Authorized official

Name Angela Fuqua

Title Administrator

Phone (850) 219-7603

Other identifiers

Identifier	Type	State	Issuer
L8014	Other	FL	BC/BS LAB SERVICES
CF6643	Other	FL	RAILROAD MEDICARE
030063201	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-05-15. Verify at npiregistry.cms.hhs.gov.

Where is Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert located?

The practice location on file with NPPES is in Tallahassee, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-05-15.