MR. DAVID BURNHAM I (NPI# 1245566702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245566702 |
| Entity Type | Individual |
| Full Name | MR. DAVID BURNHAM I |
| Practice Address |
3111 Electric Ave. Port Huron MI 48060 |
| Practice Telephone | 8109667863 |
| Practice Fax Number | 8109857620 |
| Mailing Telephone | 8109667863 |
| Mailing Fax Number | 8109857620 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962053801 | David Edward Burnham | Counselor | 615 Hope Rd Bldg 5b2nd, Eatontown, NJ 07724-1277 | 2019-09-23 |
| 1124022538 | David Burnham | Surgery | 245 Terracina Blvd Ste 202, Redlands, CA 92373-4867 | 2005-06-13 |
| 1073869012 | David Bryant Burnham | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2012-07-27 |
| 1538453105 | David R Burnham | Physical Therapist | 1001 Cromwell Bridge Rd, Suite 300, Third Floor, Baltimore, MD 21286-3300 | 2011-06-01 |
| 1346201951 | David E Burnham | Pediatrics | 401 N 17th St, Suite 203, Allentown, PA 18104-5034 | 2006-03-31 |
| Street Address |
3111 ELECTRIC AVE. |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749128 | Laura Elizabeth Taylor | Technician/Technologist | 3111 Electric Ave., Port Huron, MI 48041 | 2017-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942861786 | James Michael Talbot | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2019-06-24 |
| 1679068571 | Jason Sparks | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2018-06-25 |
| 1801387857 | Gina Renee Bass-maddox | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2018-05-25 |
| 1366961187 | Natalie Richard | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2017-09-13 |
| 1669856944 | Patricia Blume | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2015-07-16 |
| 1164762142 | Melissa Hrbcek | Adult Companion | 1001 Military St, Port Huron, MI 48060 | 2013-02-27 |
| 1548500630 | Donna Wilcox | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2013-02-26 |
| 1760722599 | Amanda Rae Axon | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2013-02-14 |
| 1346504909 | Jennifer Mary Watkins | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2012-06-28 |
| 1255694493 | Nicholas Cortis | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2012-06-22 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on MR. DAVID BURNHAM I.
| 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.