DR. KENNETH M BURNHAM (NPI# 1164462321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164462321 |
Entity Type | Individual |
Full Name | DR. KENNETH M BURNHAM |
Credential | MD |
Practice Address |
3715 Dauphin St Ste 4400 Mobile AL 36608-1727 |
Mailing Address |
6701 Airport Blvd Suite D-330 Mobile AL 36608-6705 |
Practice Telephone | 2516079797 |
Mailing Telephone | (251) 607-9797 |
Mailing Fax Number | 2516079761 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
00023415 | AL | Allopathic & Osteopathic Physicians |
Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
23415 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 0122395 | 05 | |
AL | BLUE CROSS BLUE SHIELD | 510-96629 | 01 |
AL | 000096629 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1720 Spring Hill Ave Ste 101, Mobile, AL 366041417 | 2516079797 | |
401 Medical Park Dr, Atmore, AL 365023006 | 2516079797 | |
6701 Airport Blvd Ste D330, Mobile, AL 366086758 | (251) 607-9797 | 2516079761 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336533892 | Kenneth Burnham | Social Worker | 1373 Fillmore St, Twin Falls, ID 83301-3392 | 2015-03-23 |
1396705885 | Kenneth Scott Burnham | Emergency Medicine | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2006-03-27 |
Street Address |
3715 DAUPHIN ST STE 4400 |
City | MOBILE |
State | AL |
Zip Code | 36608-1727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821642687 | Ruth Hattie Wagner | Nurse Practitioner | 3715 Dauphin St Ste 4400, Mobile, AL 36608-1727 | 2019-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
Find all providers in zip 36608 |
Taxonomy Code | 207RA0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Advanced Heart Failure and Transplant Cardiology |
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689623076 | Cardiology Associates of Mobile Inc | Internal Medicine | 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 | 2006-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144348632 | Ayman Haj Asaad | Internal Medicine | 619 19th St S, Birmingham, AL 35249 | 2007-03-26 |
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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.