BRETT T BURTENSHAW (NPI# 1053752121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053752121 |
| Entity Type | Individual |
| Full Name | BRETT T BURTENSHAW |
| Credential | MD |
| Practice Address |
2038 W 1900 S Syracuse UT 84075-9320 |
| Mailing Address |
Po Box 337 Layton UT 84041-0337 |
| Practice Telephone | 8017734840 |
| Practice Fax Number | 8015258151 |
| Mailing Telephone | 8017734840 |
| Mailing Fax Number | 8015258151 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2016-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9291245-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
2038 W 1900 S |
| City | SYRACUSE |
| State | UT |
| Zip Code | 84075-9320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962493486 | Scott Russell Bishop | Family Medicine | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2005-11-03 |
| 1679816078 | Andrew Marc Stevens | Family Medicine | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2013-04-03 |
| 1821212291 | Robert Evan Owen | Pediatrics | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2007-04-13 |
| 1750414314 | Island View Pharmacy | Pharmacy | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2007-03-13 |
| 1750434577 | David D Farnsworth | Family Medicine | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2007-01-18 |
| 1649207606 | Ryan L Stewart | Family Medicine | 2038 W 1900 S, Syracuse, UT 84075 | 2006-06-27 |
| 1043299845 | Tanner Memorial Clinic | Internal Medicine | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2006-01-11 |
| 1871579920 | Teela Sorensen | Obstetrics & Gynecology | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750775235 | Syracuse Assisted Living Phase I | Assisted Living Facility | 2063 W. 1900 S., Syracuse, UT 84075 | 2015-03-24 |
| 1881975464 | Norman Kent Sharp II | Dentist | 1662 S 2000 W Ste A1, Syracuse, UT 84075 | 2011-09-08 |
| 1245471705 | Ihc Health Services Inc | Family Medicine | 745 South 2000 West, Syracuse, UT 84075 | 2009-03-13 |
| 1124240197 | Richard Jackson | Psychologist | 2650 West 2700 South, Syracuse, UT 84075 | 2007-05-02 |
| 1679799902 | Nathan Wesley Elmore | Chiropractor | 1842 South 2000 West, Syracuse, UT 84075 | 2007-04-17 |
| 1972635332 | Aspen Institute for Behavioral Assessment | Psychiatric Residential Treatment Facility | 2732 W 2700 S, Syracuse, UT 84075 | 2007-03-12 |
| 1427111558 | Sheldon L Peck | Dentist | 1747 S Heritage Lane, Suite A3, Syracuse, UT 84075 | 2006-12-19 |
| 1811081771 | Tyler R Elmore | Chiropractor | 1013 W 2700 S, Syracuse, UT 84075 | 2006-10-03 |
| 1235247438 | Brett R Coleman | Dentist | 780 S 2000 W, Bldg E304, Syracuse, UT 84075 | 2006-08-28 |
| 1164431177 | Kipton Jay Norris | Dentist | 1747 S. Heritage Ln, Suite B-201, Syracuse, UT 84075 | 2006-08-07 |
| Find all providers in zip 84075 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451848 | Gianna of Syracuse Medical Pllc | Family Medicine | 127 Chapel Dr., Syracuse, NY 13219-1919 | 2020-03-03 |
| 1235616210 | Shelby Lynn Sharp | Family Medicine | 90 Presidential Plz Ste 5010, Syracuse, NY 13202-2240 | 2018-07-23 |
| 1245471705 | Ihc Health Services Inc | Family Medicine | 745 South 2000 West, Syracuse, UT 84075 | 2009-03-13 |
| 1891932596 | Marc Iqbal | Family Medicine | 5606 Bear Rd, Syracuse, NY 13212-1648 | 2009-01-16 |
| 1205073483 | Paul Peter Stobnicke | Family Medicine | 504 Winkworth Pkwy, Syracuse, NY 13215-1554 | 2009-01-09 |
| 1700070216 | Douglas Ahn Md Pllc | Family Medicine | 739 Irving Ave Ste 510, Syracuse, NY 13210-1663 | 2007-08-29 |
| 1114133402 | Maryellen Cathleen Lewis | Family Medicine | 216 Seymour St, Syracuse, NY 13204-3208 | 2007-05-15 |
| 1346320140 | Jack Prow Clark | Family Medicine | 518 Ems D15 Ln, Syracuse, IN 46567-8026 | 2006-10-16 |
| 1457445744 | Frank Raymond Sharf | Family Medicine | 745 S 2000 W, Syracuse, UT 84075-9621 | 2006-10-03 |
| 1740392927 | Warsaw Health System, LLC | Family Medicine | 808 S Huntington St, Syracuse, IN 46567-1810 | 2006-08-31 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.