JEFFREY SCOTT BURKETT (NPI# 1124078662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124078662 |
| Entity Type | Individual |
| Full Name | JEFFREY SCOTT BURKETT |
| Credential | M.D. |
| Practice Address |
100 Theda Clark Medical Plz Suite 400 Neenah WI 54956-2763 |
| Practice Telephone | 9207254527 |
| Practice Fax Number | 9207250991 |
| Mailing Telephone | 9207254527 |
| Mailing Fax Number | 9207250991 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35305 | WI | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
35305 | WI | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
35305 | WI | Allopathic & Osteopathic Physicians |
| N | 208C00000X | Colon & Rectal Surgery | 35305 | WI | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 35305 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32014100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198927 | Jeffrey E Burkett | Nurse Practitioner | 710 15th St E, Tuscaloosa, AL 35401-3236 | 2019-11-07 |
| 1417981655 | Jeffrey Burkett | Dentist | 1271 Sw Woodhull St, Topeka, KS 66604-1635 | 2006-07-11 |
| Street Address |
100 THEDA CLARK MEDICAL PLZ SUITE 400 |
| City | NEENAH |
| State | WI |
| Zip Code | 54956-2763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104876945 | Patrick James Brennan | Surgery | 100 Theda Clark Medical Plz, Suite 400, Neenah, WI 54956-2763 | 2006-05-11 |
| 1871904888 | Surgical Associates of The Fox Cities Sc | Specialist | 100 Theda Clark Medical Plz, Suite 400, Neenah, WI 54956-2763 | 2014-05-13 |
| 1770846776 | Comprehensive Pain Management of The Fox Valley, S.c. | Anesthesiology | 100 Theda Clark Medical Plz, Suite 252, Neenah, WI 54956-2763 | 2012-06-25 |
| 1063635910 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 100 Theda Clark Medical Plz, Suite 340, Neenah, WI 54956-2763 | 2007-04-10 |
| 1053345983 | Urology Associates of Wisconsin S.c. | Urology | 100 Theda Clark Medical Plz, Suite 300, Neenah, WI 54956-2763 | 2006-07-10 |
| 1497705008 | Kevin Edward Wasco | Surgery | 100 Theda Clark Medical Plz, Suite 400, Neenah, WI 54956-2763 | 2006-05-12 |
| 1508817073 | David James Schultz | Surgery | 100 Theda Clark Medical Plz, Suite 400, Neenah, WI 54956-2763 | 2006-05-12 |
| 1881645364 | Nikhilesh Royopet Sekhar | Surgery | 100 Theda Clark Medical Plz, Suite 400, Neenah, WI 54956-2763 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| Find all providers in zip 54956 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700029212 | Sarah Beth Mingucci | Surgery | 130 2nd St Ste 197, Neenah, WI 54956-2883 | 2009-04-14 |
| 1154352078 | Kevin Francis Quinn | Surgery | 1147 Glenayre Dr, Neenah, WI 54956-4235 | 2006-07-06 |
| 1104876945 | Patrick James Brennan | Surgery | 100 Theda Clark Medical Plz, Suite 400, Neenah, WI 54956-2763 | 2006-05-11 |
| 1801177035 | Community Memorial Hospital, Incorporated | Surgery | 200 Theda Clark Medical Plz, Suite 210, Neenah, WI 54956-2721 | 2011-09-01 |
| 1770810947 | Breast Surgery Experts of Northeast Wisconsin, LLC | Surgery | 130 2nd St, Neenah, WI 54956-2883 | 2009-11-10 |
| 1740469881 | Betsy R Winnekens | Surgery | 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956-2763 | 2007-10-25 |
| 1285792341 | Surgical Associates of Neenah, S.c. | Surgery | 130 2nd St, 100 Theda Clark Med Plaza, Suite 400, Neenah, WI 54956-2883 | 2006-12-04 |
| 1497705008 | Kevin Edward Wasco | Surgery | 100 Theda Clark Medical Plz, Suite 400, Neenah, WI 54956-2763 | 2006-05-12 |
| 1508817073 | David James Schultz | Surgery | 100 Theda Clark Medical Plz, Suite 400, Neenah, WI 54956-2763 | 2006-05-12 |
| 1881645364 | Nikhilesh Royopet Sekhar | Surgery | 100 Theda Clark Medical Plz, Suite 400, Neenah, WI 54956-2763 | 2006-05-12 |
| Find all providers in NEENAH | ||||
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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.