DR. ANNETTE G BURST (NPI# 1285698217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285698217 |
| Entity Type | Individual |
| Full Name | DR. ANNETTE G BURST |
| Credential | MD |
| Practice Address |
3500 Harrison Blvd Ste 200 Ogden UT 84403-2038 |
| Practice Telephone | 8016682010 |
| Practice Fax Number | 8016272228 |
| Mailing Telephone | 8016682010 |
| Mailing Fax Number | 8016272228 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2015-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
1689991205 | UT | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
01023829A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
3500 HARRISON BLVD STE 200 |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447607122 | Brookstar Knee Clinic II | Preventive Medicine | 3500 Harrison Blvd Ste 200, Ogden, UT 84403-2038 | 2016-05-23 |
| 1164638300 | Lori Lee Bosley | Chiropractor | 3500 Harrison Blvd Ste 200, Ogden, UT 84403-2038 | 2007-05-15 |
| 1548329535 | Chiropractic Health Center Inc | Chiropractor | 3500 Harrison Blvd Ste 200, Ogden, UT 84403-2038 | 2006-12-06 |
| 1013020213 | Ryan Bosley | Chiropractor | 3500 Harrison Blvd Ste 200, Ogden, UT 84403-2038 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245360031 | Ihc Health Services Inc | Preventive Medicine | 1355 Hinkley Dr, Ogden, UT 84401-3376 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598190472 | Healthstat On-site Clinic/milliken St. Georg | Preventive Medicine | 961 E Commerce Dr, St George, UT 84790-4737 | 2013-09-10 |
| 1164707105 | Alice Dowling | Preventive Medicine | 3837 E Sunnydale Ln, Salt Lake City, UT 84108-1523 | 2011-10-20 |
| 1366764540 | Lynne Marie Morgan | Preventive Medicine | 460 Redondo Ave, Salt Lake City, UT 84115-2226 | 2010-02-16 |
| 1346253945 | Susanne Christine Thobe | Preventive Medicine | Bldg 5116 Kister Avenue, Dugway, UT 84022 | 2006-08-14 |
| 1568439156 | William C Otto | Preventive Medicine | 629 Coyote Cv, A, Dugway, UT 84022-1079 | 2006-03-02 |
| 1538760228 | Summer Soleil Hammond | Preventive Medicine | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2020-11-08 |
| 1437692324 | Ihc Health Services Inc | Preventive Medicine | 1665 Bonanza Dr, Park City, UT 84060-5127 | 2016-11-23 |
| 1376744086 | Ihc Health Services Inc | Preventive Medicine | 962 Sage Dr, Cedar City, UT 84720-1885 | 2007-05-30 |
| 1982816351 | Philip Jiricko | Preventive Medicine | 2400 N Washington Blvd, North Ogden, UT 84414-7233 | 2007-05-05 |
| 1245455096 | Mark Vernon Anderson | Preventive Medicine | 2390 S Redwood Rd, Salt Lake City, UT 84119-2027 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
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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.