Jeffrey Blake Burnette (NPI# 1235104621, PAC ID# 1153304852) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1235104621 |
| PAC ID by PECOS | 1153304852 |
| Professional Enrollment ID | I20130823001143 |
| Full Name | Jeffrey Blake Burnette |
| Organization Legal Name | HUGHSTON ORTHOPAEDIC SOUTHEAST PC |
| Address |
4689 Hwy 17 Suite 11 and 12 Fleming Island FL 32003 |
| Phone Number | 9043759753 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3274819644 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100226 | ORANGE PARK MEDICAL CENTER |
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| 100307 | ST VINCENT'S MEDICAL CENTER SOUTHSIDE |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 | 9043759753 | HUGHSTON ORTHOPAEDIC SOUTHEAST PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | HUGHSTON ORTHOPAEDIC SOUTHEAST PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karlee Butler Norell | Physical Therapy | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Pasquale Reino | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 341 Racetrack Rd Nw, Suite B, Fort Walton Beach, FL 32547-1552 |
| Emily D Benn | Physical Therapy | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Paul Baldwin | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Erin M Laipply Smith | Physician Assistant | Hughston Orthopaedic Southeast PC | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Mark Thomas Gould | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Street Address |
4689 HWY 17 SUITE 11 AND 12 |
| City | FLEMING ISLAND |
| State | FL |
| Zip | 32003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karlee Butler Norell | Physical Therapy | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Janet F Underkofler | Physician Assistant | Memorial Family Practice Associates, LLC | 4689 Hwy 17, Suite 14, Fleming Island, FL 32003-4831 |
| Emily D Benn | Physical Therapy | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Paul Baldwin | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Mark Thomas Gould | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara J Mcdougall | Psychologist, Clinical | 4609 Hwy 17 1, Fleming Island, FL 32003 | |
| Vanessa J Embry | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 1125 Fleming Plantation Blvd, Fleming Island, FL 32003-3389 |
| Murren Hill | Psychologist, Clinical | 414 Old Hard Rd, Suite 108, Fleming Island, FL 32003-3407 | |
| Sathavaram Aravind Reddy | Interventional Pain Management | Jacksonville Spine Center Pa | 2349 Village Square Pkwy, Suite 107, Fleming Island, FL 32003-4319 |
| Janell L Miller | Nurse Practitioner | Jacksonville Spine Center Pa | 2349 Village Square Pkwy, Suite 107, Fleming Island, FL 32003-4319 |
| Danisha Laquise Stevenson | Family Medicine | Baptist Primary Care Inc | 2349 Village Square Pkwy, Suite 110, Fleming Island, FL 32003-4319 |
| Peter C Jansen | Family Medicine | Baptist Primary Care Inc | 2349 Village Square Pkwy, Suite 110, Fleming Island, FL 32003-4319 |
| Justin R Keeton | Nurse Practitioner | Baptist Primary Care Inc | 2349 Village Square Pkwy, Suite 110, Fleming Island, FL 32003-4319 |
| Takaya L Jones | Family Practice | Baptist Primary Care Inc | 2349 Village Square Pkwy, Suite 110, Fleming Island, FL 32003-4319 |
| Richard D Curtis | Orthopedic Surgery | North Florida Surgeons Pa | 1715 Eagle Harbour Pkwy, Suite A, Fleming Island, FL 32003-4324 |
| Find all physicians in zip 32003 | |||
| City | FLEMING ISLAND |
| Zip Code | 32003 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | FLEMING ISLAND + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.