DR. AMY C BURT (NPI# 1053398024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053398024 |
| Entity Type | Individual |
| Full Name | DR. AMY C BURT |
| Credential | DO |
| Practice Address |
3007 Harbor Ln N Plymouth MN 55447-5103 |
| Mailing Address |
3800 Park Nicollet Blvd Credentialing St Louis Park MN 55416-2527 |
| Practice Telephone | 9529938900 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2012-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 43111 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 216938000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639499106 | Amy Lynn Burt | Occupational Therapist | 160 Greene Plz, Rt 21 & 79, Waynesburg, PA 15370-8142 | 2010-06-08 |
| Street Address |
3007 HARBOR LN N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55447-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285618819 | Douglas Lowin | Family Medicine | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2005-12-06 |
| 1326654450 | Madeline Felice Nehotte | Technician, Other | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-09-23 |
| 1922614502 | Caitlin Patricia Hall | Behavior Technician | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-09-19 |
| 1134734734 | Katelyn Ann Parker | Technician, Other | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-09-10 |
| 1013526193 | Nathan Robert Richards | Technician, Other | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-07-24 |
| 1124646625 | Kylie Aanerud | Behavior Technician | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-07-10 |
| 1013534338 | Sara Krebsbach | Behavior Technician | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-07-02 |
| 1881088102 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2015-03-25 |
| 1366678351 | Caroline Ruth Mathews | Pediatrics | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2009-06-03 |
| 1598839250 | Mohammad Tariq Fareed | Family Medicine | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2006-11-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
| 1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
| 1477954253 | Very Best PCa Services | Home Health | 14300 34th Ave N, #111, Plymouth, MN 55447 | 2014-09-11 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1336480946 | Arthur Andrew Hoffman | Chiropractor | 16815 22nd Ave North, Plymouth, MN 55447 | 2013-03-06 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| Find all providers in zip 55447 | ||||
| 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 |
|---|---|---|---|---|
| 1043709124 | Erica Wade Lundberg | Pediatrics | 4875 Cottonwood Ln N, Plymouth, MN 55442-2277 | 2018-05-04 |
| 1598160939 | Shama Ahuja | Pediatrics | 12459 White Tail Ct, Plymouth, MI 48170-2875 | 2014-10-28 |
| 1447492855 | Zarina S Norton | Pediatrics | 49906 Fuller Ct, Plymouth, MI 48170-2869 | 2009-03-31 |
| 1811023617 | Sarah Lacy | Pediatrics | 990 W Ann Arbor Trl Ste 210, Plymouth, MI 48170-6202 | 2007-02-26 |
| 1942309653 | Performance Pediatrics, LLC | Pediatrics | 23 Aldrin Rd, Plymouth, MA 02360-4803 | 2006-09-21 |
| 1295751543 | Virnaliza Cassidy | Pediatrics | 3 Village Grn N, Suite 321, Plymouth, MA 02360-8803 | 2006-07-13 |
| 1881652303 | Ann M Powers | Pediatrics | 110 Long Pond Rd Ste 211, Long Pond Pediatrics Osteopathy PC, Plymouth, MA 02360 | 2006-05-03 |
| 1144281072 | Nancy Crocker | Pediatrics | 71 Highland St, Plymouth, NH 03264-1233 | 2006-03-30 |
| 1891765665 | Heidi Sophia Gomes | Pediatrics | 139 Sandwich St, Plymouth, MA 02360 | 2006-01-25 |
| 1235123217 | Mary Alonzi | Pediatrics | 9365 N Haggerty Rd, Plymouth, MI 48170-4622 | 2005-09-07 |
| Find all providers in PLYMOUTH | ||||
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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.