CYNTHIA L BURNHAM (NPI# 1306956214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306956214 |
| Entity Type | Individual |
| Full Name | CYNTHIA L BURNHAM |
| Other Name | CYNTHIA LUDWIG |
| Credential | CNP |
| Practice Address |
750 Townpark Lane Pediatrics Health Care Team A Kennesaw GA 30144 |
| Mailing Address |
3495 Piedmont Road Ne Nine Piedmont Center Atlanta GA 30305-1736 |
| Practice Telephone | 7705145455 |
| Practice Fax Number | 7705145444 |
| Mailing Telephone | 4043647000 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN074625 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740327162 | Cynthia M Burnham | Psychiatry & Neurology | 655 Main St, Saco, ME 04072-1543 | 2007-02-01 |
| Street Address |
750 TOWNPARK LANE PEDIATRICS HEALTH CARE TEAM A |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054923 | Candace Frederick Vaughn | Family Medicine | 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 | 2005-06-21 |
| 1073967097 | Caroline Nicole Donner | Nurse Practitioner | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2016-04-15 |
| 1134514185 | Kimberlyn N Johnson-ruise | Nurse Practitioner | 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 | 2015-04-06 |
| 1841681293 | Cole T Scotti | Physician Assistant | 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 | 2015-02-06 |
| 1508288036 | Elizabeth N Thai | Physician Assistant | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2014-01-17 |
| 1750627295 | Karma D Mehta | Physician Assistant | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2013-01-01 |
| 1982987376 | Mallory Mccord Aycock | Physician Assistant | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2011-09-22 |
| 1386965416 | Ketan Bipinchandra Patel | Family Medicine | 750 Townpark Lane, Kaiser Permanete Townpark Comprehensive Medical Center, Kennesaw, GA 30144 | 2010-06-11 |
| 1730345430 | Le Don Anthony Robinson | Orthopaedic Surgery | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2008-08-01 |
| 1114180791 | Nikia Lynette Caston | Family Medicine | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30114 | 2008-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
| 1851706972 | Jennie Barbara Sharp | Nurse Practitioner | 3104 Creekside Village Dr Nw Ste 504, Kennesaw, GA 30144-2393 | 2014-06-26 |
| 1417922071 | Linda Frye | Nurse Practitioner | 5150 Stilesboro Rd Nw, Suite 220, Kennesaw, GA 30152-7744 | 2006-02-17 |
| 1184230864 | Mary Elizabeth Moore | Nurse Practitioner | 3745 Cherokee St Nw, Kennesaw, GA 30144-6733 | 2020-09-18 |
| 1770128266 | Abigail Scanlan | Nurse Practitioner | 3745 Cherokee St Nw Ste 401, Kennesaw, GA 30144-6787 | 2019-11-08 |
| 1255980926 | Jamie Marie Conwell | Nurse Practitioner | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2019-09-05 |
| 1134512635 | Traci M Perry | Nurse Practitioner | 3745 Cherokee St Nw Ste 401, Kennesaw, GA 30144-6787 | 2015-03-09 |
| 1346680535 | Holly Stiehm Young | Nurse Practitioner | 2985 George Busbee Pkwy Nw, Kennesaw, GA 30144-6812 | 2013-07-02 |
| 1013001973 | Tanya S Wilcox | Nurse Practitioner | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2006-10-03 |
| 1164490504 | Mary Elizabeth Graves | Nurse Practitioner | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2006-03-10 |
| Find all providers in KENNESAW | ||||
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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.