Michelle E Burnham (NPI# 1275781254, PAC ID# 2567599186) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1275781254 |
PAC ID by PECOS | 2567599186 |
Professional Enrollment ID | I20100429000891 |
Full Name | Michelle E Burnham |
Organization Legal Name | BIG SPRINGS MEDICAL ASSOCIATION |
Address |
220 E Broad St Naylor Medical Clinic Naylor MO 63953-0038 |
Phone Number | 5733992311 |
Gender | F |
Graduation Year | 2008 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6709871007 |
Number of Group Practice Members | 24 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260119 | POPLAR BLUFF REGIONAL MEDICAL CENTER |
260078 | OZARKS MEDICAL CENTER |
260183 | SAINT FRANCIS MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
220 E Broad St, Naylor Medical Clinic, Naylor, MO 63953-0038 | 5733992311 | BIG SPRINGS MEDICAL ASSOCIATION |
Organization Legal Name | BIG SPRINGS MEDICAL ASSOCIATION |
Physicians | 23 |
Name | Specialty | Organization | Address |
---|---|---|---|
Loretta Baker-montgomery | Clinical Social Worker | Big Springs Medical Association | 110 S 2nd St, Ellington, MO 63638-9400 |
Terra Renee Graves | Clinical Social Worker | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
Jamie Murray | Nurse Practitioner | Big Springs Medical Association | 315 W Mulberry B, Pilot Knob, MO 63663 |
Rebecca Ann Compton | Nurse Practitioner | Big Springs Medical Association | 405 Main St, Van Buren, MO 63965 |
Adam Khan Kakar | General Practice | Big Springs Medical Association | 18 Viburnum Ctr Rd, Viburnum, MO 65566-7802 |
Marsha D Shivley | Nurse Practitioner | Big Springs Medical Association | 220 E Broad St, Naylor Medical Clinic, Naylor, MO 63953-0038 |
Michael Moore | Family Medicine | Big Springs Medical Association | 202 N Allen St, Annapolis, MO 63620-8778 |
Amber W Richardson | Psychologist, Clinical | Big Springs Medical Association | 225 Physicians Park, Suite 303, Poplar Bluff, MO 63901-3930 |
Joseph C.f. Camire | Family Medicine | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
Judith A Medley | Nurse Practitioner | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
Street Address |
220 E BROAD ST NAYLOR MEDICAL CLINIC |
City | NAYLOR |
State | MO |
Zip | 63953-0038 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marsha D Shivley | Nurse Practitioner | Big Springs Medical Association | 220 E Broad St, Naylor Medical Clinic, Naylor, MO 63953-0038 |
Ashley Oldham | Nurse Practitioner | Big Springs Medical Association | 220 E Broad St, Naylor Medical Clinic, Naylor, MO 63953-0038 |
City | NAYLOR |
Zip Code | 63953 |
Specialty | NURSE PRACTITIONER |
City + Specialty | NAYLOR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michelle E Burnham.
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.