DR. KELLEY BURNETT (NPI# 1487638235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487638235 |
| Entity Type | Individual |
| Full Name | DR. KELLEY BURNETT |
| Credential | D.O. |
| Practice Address |
700 Ramsey Ave Grants Pass OR 97527-5792 |
| Practice Telephone | 5419555683 |
| Practice Fax Number | 5419550983 |
| Mailing Telephone | 5419555683 |
| Mailing Fax Number | 5419550983 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2012-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | DO19729 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 299499 | 05 |
| Street Address |
700 RAMSEY AVE |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374528 | Peter Bogard | Family Medicine | 700 Ramsey Ave, Ste 104, Grants Pass, OR 97527-5788 | 2005-05-24 |
| 1528175437 | Women's Health Center of Southern Oregon PC | Obstetrics & Gynecology | 700 Ramsey Ave, Suite 101, Grants Pass, OR 97527-5786 | 2006-08-24 |
| 1568446219 | Steven Marshak | Pediatrics | 700 Ramsey Ave, Grants Pass, OR 97527-5786 | 2005-12-05 |
| 1205835139 | Katherine Rutherford | Nurse Practitioner | 700 Ramsey Ave, Grants Pass, OR 97527-5786 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184869026 | Katherine Suzanne Johnston | Pediatrics | 700 Sw Ramsey Ave, #204, Grants Pass, OR 97527-5786 | 2008-12-05 |
| 1700999521 | Siskiyou Pediatric Clinic, LLP | Pediatrics | 700 Ramsey Ave Ste 204, Grants Pass, OR 97527-5792 | 2006-08-16 |
| 1962812594 | Haifa Jaedi | Pediatrics | 700 Sw Ramsey Ave, Suite 204, Grants Pass, OR 97527-5786 | 2014-05-05 |
| 1730408071 | Salma Yahya | Pediatrics | 700 Sw Ramsey Ave, Suite 204, Grants Pass, OR 97527-5786 | 2010-05-26 |
| 1770786667 | Judy Black | Pediatrics | 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 | 2007-06-07 |
| 1568446219 | Steven Marshak | Pediatrics | 700 Ramsey Ave, Grants Pass, OR 97527-5786 | 2005-12-05 |
| 1619977089 | Neil Alan Phillips | Pediatrics | 495 Ramsey Ave, Grants Pass, OR 97527-5681 | 2005-07-28 |
| 1558366344 | William Lee Kohn | Pediatrics | 495 Sw Ramsey Ave, Grants Pass, OR 97527 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114558368 | Oregon Pediatrics-oregon City, PC | Pediatrics | 1510 Division St Ste 80, Oregon City, OR 97045-1572 | 2020-01-27 |
| 1962911347 | Bend Kids Pediatrics, LLC | Pediatrics | 2748 Nw Crossing Dr Ste 140, Bend, OR 97703-7179 | 2017-09-28 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1235660176 | Erik Grimm | Pediatrics | 16463 Boones Ferry Rd Ste 400, Lake Oswego, OR 97035-4377 | 2017-03-22 |
| 1891178885 | Snake River Pediatrics | Pediatrics | 1050 Sw 3rd Ave Ste 3200, Ontario, OR 97914-4560 | 2015-07-08 |
| 1447663810 | Anh Linh Hoang | Pediatrics | 9243 Ne Glisan St, Portland, OR 97220-4533 | 2014-06-03 |
| 1891126538 | Sydmarie Bisenius | Pediatrics | 24850 Se Stark St Ste 150, Gresham, OR 97030-8318 | 2013-12-05 |
| 1427499367 | Elizabeth Bish Young | Pediatrics | 901 Bellwood Ln, Roseburg, OR 97471-9299 | 2013-07-08 |
| 1255771671 | Steven Donald Mcgaughey | Pediatrics | Ohsu Doernbecher, 3181 Sw Sam Jackson Park Road, Portland, OR 97239-1002 | 2013-06-29 |
| 1508109539 | Ramya Mishra Jariwala | Pediatrics | 9155 Sw Barnes Rd Ste 840, Portland, OR 97225 | 2013-03-28 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
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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.