DR. CHARLES ROLAND BURNETT JR. (NPI# 1134122302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134122302 |
Entity Type | Individual |
Full Name | DR. CHARLES ROLAND BURNETT JR. |
Credential | M.D. |
Practice Address |
80 Humphreys Ctr Suite 202 Memphis TN 38120-2361 |
Practice Telephone | 9017473330 |
Practice Fax Number | 9017473245 |
Mailing Telephone | 9017473330 |
Mailing Fax Number | 9017473245 |
Enumeration Date | 2005-05-23 |
Last Update Date | 2011-11-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
C-5269 | AR | Allopathic & Osteopathic Physicians |
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD014125 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
QUALCHOICE | 62116765701 | 01 | |
MS | RAIL ROAD MEDICARE | P00372263 | 01 |
TN | AETNA | 4118485 | 01 |
MO | MO BLUE CROSS | 102G26 | 01 |
MO | 202043303 | 05 | |
TN | RAIL ROAD MEDICARE | P00378334 | 01 |
TN | TLC | 000000039811 | 01 |
TN | BCBS | 4146198 | 01 |
MS | 00013823 | 05 | |
AR | 107284001 | 05 | |
TN | 3194515 | 05 | |
AR | BCBS | 81185 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295749745 | Charles K. Burnett | Psychologist | 105 S Fourth St, Mebane, NC 27302-2639 | 2006-07-28 |
Street Address |
80 HUMPHREYS CTR SUITE 202 |
City | MEMPHIS |
State | TN |
Zip Code | 38120-2361 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386888345 | Pamela Ann Watkins | Nurse Practitioner | 80 Humphreys Ctr, Suite 202, Memphis, TN 38120-2353 | 2009-04-21 |
1942498167 | The Memphis Tn Endoscopy Asc LLC | Clinic/Center | 80 Humphreys Ctr, Suite 200, Memphis, TN 38120-2353 | 2007-10-12 |
1720151418 | Women's Care Center of Memphis, Mpllc | Obstetrics & Gynecology | 80 Humphreys Ctr, Suite 330, Memphis, TN 38120-2353 | 2006-11-17 |
1588769608 | Kutteh Ke Fertility Associates of Memphis, Pllc | Obstetrics & Gynecology | 80 Humphreys Ctr, Suite 307, Memphis, TN 38120-2353 | 2006-09-13 |
1477658516 | Reproductive Laboratory Inc | Clinical Medical Laboratory | 80 Humphreys Ctr, Suite 307, Memphis, TN 38120-2353 | 2006-09-13 |
1710082987 | William Hanna Kutteh | Obstetrics & Gynecology | 80 Humphreys Ctr, Suite 307, Memphis, TN 38120-2353 | 2006-09-13 |
1790880896 | Raymond Weehan Ke | Obstetrics & Gynecology | 80 Humphreys Ctr, Suite 307, Memphis, TN 38120-2353 | 2006-09-13 |
1124123260 | Memphis Fertility Laboratory, Inc | Clinical Medical Laboratory | 80 Humphreys Ctr, Suite 307, Memphis, TN 38120-2353 | 2006-09-13 |
1134151533 | Gastrointestinal Specialists, PC | Specialist | 80 Humphreys Ctr, #200, Memphis, TN 38120-2353 | 2006-07-07 |
1083646491 | Medical Center Endoscopy Group | Clinic/Center | 80 Humphreys Ctr, #200, Memphis, TN 38120-2353 | 2006-07-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
Find all providers in zip 38120 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073085189 | Heart Center Usa Incorporated | Internal Medicine | 6500 Kirby Gate Blvd, Memphis, TN 38119-2673 | 2018-12-31 |
1750630794 | David Marc Mirvis | Internal Medicine | 5676 Redding Ave, Memphis, TN 38120-1848 | 2012-09-06 |
1255607164 | Dmitry M Yaranov | Internal Medicine | 6025 Walnut Grove Rd Ste 111, Memphis, TN 38120-2102 | 2012-03-25 |
1699908038 | Roger Jones Cunningham | Internal Medicine | 203 E Parkway S, Memphis, TN 38104-4341 | 2009-09-02 |
1699948281 | Adedayo Ademola Adeboye | Internal Medicine | 1030 Jefferson Ave, Vamc, Medical Service-cardiology, Memphis, TN 38104 | 2008-04-04 |
1881890614 | D Bruce Wilson Md, PC | Internal Medicine | 188 S Bellevue Blvd, #405, Memphis, TN 38104-3416 | 2007-06-27 |
1629281712 | Saxton Heart Clinic PC | Internal Medicine | 6055 Primacy Pkwy Ste 125, Memphis, TN 38119-5701 | 2007-05-07 |
1417001223 | David L. Simmons, Md, PC - Cardiovascular Services | Internal Medicine | 202 Greenbriar Dr, Memphis, TN 38117-3237 | 2007-01-22 |
1720187040 | Jesse E Mcgee | Internal Medicine | 4567 Millbranch Road, Memphis, TN 38116 | 2006-09-22 |
1326156100 | Stewart Lewis Nunn | Internal Medicine | 706 Cypress Dr, Memphis, TN 38112-1738 | 2006-08-29 |
Find all providers in MEMPHIS |
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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.