MATTHEW J BURNETT


Address: 6620 Fly Road, Ste 200, East Syracuse, NY 13057
Phone: 3154644472

MATTHEW J BURNETT (NPI# 1467457440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467457440
Entity Type Individual
Full Name MATTHEW J BURNETT
Credential PA
Practice Address 6620 Fly Road
Ste 200
East Syracuse
NY 13057
Practice Telephone 3154644472
Mailing Telephone 3154644472
Enumeration Date 2005-06-16
Last Update Date 2009-11-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
009606 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02720189 05

Other Providers MATTHEW BURNETT

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Office Location

Street Address 6620 FLY ROAD
STE 200
City EAST SYRACUSE
State NY
Zip Code 13057

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952305369 Stephen A Albanese Orthopaedic Surgery 6620 Fly Road, Ste 200, East Syracuse, NY 13057 2005-06-13
1427282771 Upstate Orthopedics Ambulatory Surgery Center LLC Clinic/Center 6620 Fly Road, Suite 300, East Syracuse, NY 13057 2009-05-14
1134247646 William F Lavelle Orthopaedic Surgery 6620 Fly Road, Suite 200, East Syracuse, NY 13057 2007-03-26
1760491872 Kelly Lynn Stewart Registered Nurse 6620 Fly Road, East Syracuse, NY 13057 2006-08-07
1649213232 Catherine Marie Tomaiuoli Nurse Practitioner 6620 Fly Road, Ste 200, East Syracuse, NY 13057 2006-06-13
1669413480 Matthew G Scuderi Orthopaedic Surgery 6620 Fly Road, Ste 200, East Syracuse, NY 13057 2006-06-10
1740228311 Upstate Orthopedics, LLP Durable Medical Equipment & Medical Supplies 6620 Fly Road, Ste 200, East Syracuse, NY 13057 2006-06-03
1881645323 Mike H Sun Orthopaedic Surgery 6620 Fly Road, Ste 200, East Syracuse, NY 13057 2006-05-12
1669423190 Richard A Tallarico Orthopaedic Surgery 6620 Fly Road, Ste 200, East Syracuse, NY 13057 2006-05-12
1184616203 Jon B Loftus Orthopaedic Surgery 6620 Fly Road, Ste 200, East Syracuse, NY 13057 2005-08-16
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1386029221 Apollo Physical Therapy, Pllc Physical Therapist 6304 Carrier Parkway, East Syracuse, NY 13057 2015-07-21
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700289238 Ryan Connolly Physician Assistant 6620 Fly Rd, Ste 200, East Syracuse, NY 13057-9791 2014-09-29
1942634522 Jaclyn M Ireland Physician Assistant 6620 Fly Rd, Suite 200, East Syracuse, NY 13057-9791 2013-08-30
1326110263 Beth M Phillips Physician Assistant 5898 Bridge St, East Syracuse, NY 13057-2941 2006-11-15
1982790762 Daniel M Demartini Physician Assistant 6620 Fly Rd, Ste 200, East Syracuse, NY 13057-9717 2006-10-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205434727 Julia Loren Bartsch Physician Assistant 11791 Genesee St, Alden, NY 14004-9713 2020-10-16
1295347078 Alana Janine Miller Physician Assistant 1060 5th Ave # 1b, New York, NY 10128-0104 2020-08-21
1336768647 Abul Sarker Physician Assistant 2 Sagamore Ave, Suffern, NY 10901-7412 2020-04-16
1689200412 Margaret Ann Sullivan Physician Assistant 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 2020-03-12
1376177527 Anabell Marina Lopez Plaza Physician Assistant 12 Berrywood Ct, Bay Shore, NY 11706-2058 2020-02-26
1154969053 Joshua Reyes Physician Assistant 8839 Saint James Ave, Elmhurst, NY 11373 2019-12-11
1831736602 Ll Physician Assistant PC Physician Assistant 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 2019-11-29
1992348775 Nafiur Rahman Chowdhury Physician Assistant 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 2019-10-23
1376194720 Sarah Van Eenenaam Physician Assistant Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 2019-09-26
1578114377 Matthew Newmark Eisenstein Physician Assistant 3260 43rd St Apt 2r, Astoria, NY 11103-2745 2019-09-23
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Competitor

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City EAST SYRACUSE
Zip Code 13057

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Dataset Information

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.

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