CONNOR BURNSIDE (NPI# 1922595990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922595990 |
| Entity Type | Individual |
| Full Name | CONNOR BURNSIDE |
| Credential | DO |
| Practice Address |
4037 Nw 86th Ter # 3154 Gainesville FL 32606-9277 |
| Practice Telephone | 3522944945 |
| Practice Fax Number | 3525941818 |
| Mailing Telephone | 3522944945 |
| Mailing Fax Number | 3525941818 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4037 NW 86TH TER # 3154 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32606-9277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376031948 | Robert Matthias Scholl | Student in an Organized Health Care Education/Training Program | 4037 Nw 86th Ter # 3154, Gainesville, FL 32606-9277 | 2018-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652389 | Michael James Watkins | Massage Therapist | 6418 Nw 39th Ave, Gainesville, FL 32606 | 2020-09-06 |
| 1073134813 | Sun View Counseling LLC | Counselor | 3550 Nw 87 Ter., Gainesville, FL 32606 | 2020-05-04 |
| 1588283568 | Jeena Kar | Student in an Organized Health Care Education/Training Program | Uf Psychiatry Residency Training, 4101 Nw 89th Boulevard, Rm 1796, Gainesville, FL 32606 | 2020-04-10 |
| 1467917864 | Marquetta Lee | Social Worker | 2772 Nw 43rd St, Ste C, Gainesville, FL 32606 | 2019-02-10 |
| 1376025742 | Jacob Sanow | Student in an Organized Health Care Education/Training Program | 5200 Nw 43rd St Unit 401, Gainesville, FL 32606 | 2018-09-03 |
| 1750878393 | Taylor Brown | Occupational Therapist | 3850 Nw 83rd St # 201, Gainesville, FL 32606 | 2018-04-19 |
| 1568914471 | Bernard Mitchll | Behavior Technician | 3515 Nw 60th Terrace, Gainesville, FL 32606 | 2016-10-26 |
| 1760839534 | Nancy Christiana Collins | Counselor | 4907 Nw 43rd St C., Gainesville, FL 32606 | 2016-05-20 |
| 1730553140 | Dawn Johnson O'byrne | Counselor | 4041 Nw 37th Place, Suite A, Gainesville, FL 32606 | 2015-11-23 |
| 1225424815 | Dianne Voitle | Acupuncturist | 2727b N.w. 43rd St. Suite 8, Gainesville, FL 32606 | 2015-04-09 |
| Find all providers in zip 32606 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269397 | Andrew James Herrington | Student in an Organized Health Care Education/Training Program | 2510 Ne 9th St Apt 501, Gainesville, FL 32609-6001 | 2020-06-15 |
| 1679197495 | Colette R Rackleff | Student in an Organized Health Care Education/Training Program | 4240 Nw 129th St, Gainesville, FL 32606-3549 | 2020-06-08 |
| 1821613605 | Andrew Barton | Student in an Organized Health Care Education/Training Program | 1240 Sw 11th Ave Apt B211, Gainesville, FL 32601-8265 | 2020-06-08 |
| 1861016982 | Kate Shannahan | Student in an Organized Health Care Education/Training Program | 4551 Nw 1st Ave, Gainesville, FL 32607-2223 | 2020-06-04 |
| 1790309011 | Michael Massari | Student in an Organized Health Care Education/Training Program | Uf Health 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2020-06-02 |
| 1346863396 | Loveneet Kaur | Student in an Organized Health Care Education/Training Program | 7225 Winnipeg Ct, Gainesville, VA 20155-4877 | 2020-05-26 |
| 1326660176 | Lindsay Bouchard | Student in an Organized Health Care Education/Training Program | 6012 Sw 75th Ter Apt 308, Gainesville, FL 32608-5092 | 2020-05-15 |
| 1184245938 | Aaron Scarpa | Student in an Organized Health Care Education/Training Program | Shands Hospital 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2020-05-04 |
| 1417578592 | Dylan Jude Ong | Student in an Organized Health Care Education/Training Program | 1329 Sw 16 Street 4th Floor, Gainesville, FL 32610-3424 | 2020-04-30 |
| 1134749591 | Vladislav Korenblit | Student in an Organized Health Care Education/Training Program | 1149 Newell Dr # L3-100, Gainesville, FL 32610-0236 | 2020-04-25 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32606 |
Please comment or provide details below to improve the information on CONNOR BURNSIDE.
| 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.