John James Burnett (NPI# 1366892846, PAC ID# 4880925312) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1366892846 |
PAC ID by PECOS | 4880925312 |
Professional Enrollment ID | I20191014002038 |
Full Name | John James Burnett |
Organization Legal Name | SAMARITAN MEDICAL CENTER |
Address |
26908 Independence Way 100 Leray Cmns Evans Mills NY 13637-0000 |
Phone Number | 3156294080 |
Gender | M |
Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
Graduation Year | 2016 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 8123914876 |
Number of Group Practice Members | 102 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330157 | SAMARITAN MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
26908 Independence Way, 100 Leray Cmns, Evans Mills, NY 13637-0000 | 3156294080 | SAMARITAN MEDICAL CENTER |
Organization Legal Name | SAMARITAN MEDICAL CENTER |
Physicians | 86 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ernesto N Levy | Rheumatology | Samaritan Medical Center | 629 Washington St, Rheumatology, Watertown, NY 13601-4836 |
Teresa Y Intorcia | Registered Dietitian Or Nutrition Professional | Samaritan Medical Center | 830 Washington St, Watertown, NY 13601-4034 |
Brett R Bunker | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
Sharen Yaworski | Nurse Practitioner | Samaritan Medical Center | 165 Coleman Ave, Watertown, NY 13601-2217 |
Heather Emanuel | Physician Assistant | Samaritan Medical Center | 3 Demott St, Lacona, NY 13083-8302 |
Aaron Dale Huizenga | Family Medicine | Samaritan Medical Center | 909 Strawberry Ln, Clayton, NY 13624-1409 |
Maria N Alicea | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
Christina M Oneil | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
Christopher Wilson | Nurse Practitioner | Samaritan Medical Center | 830 Washington St, Pm and R, Watertown, NY 13601-0000 |
Catherine Vreatt | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
Street Address |
26908 INDEPENDENCE WAY 100 LERAY CMNS |
City | EVANS MILLS |
State | NY |
Zip | 13637-0000 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Krebs | Family Medicine | Samaritan Medical Center | 26908 Independence Way, 100 Leray Cmns, Evans Mills, NY 13637-0000 |
Jennifer Kean | Physical Therapy | Northern Physical Therapy LLC | 26908 Independence Way, Evans Mills, NY 13637-3300 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charles F Metzler Jr. | Optometry | 25737 Us Route 11, Evans Mills, NY 13637-3221 | |
Justin M Pecori | Optometry | 25737 Us Route 11, Evans Mills, NY 13637-3221 |
City | EVANS MILLS |
Zip Code | 13637 |
Specialty | FAMILY MEDICINE |
City + Specialty | EVANS MILLS + FAMILY MEDICINE |
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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.