DR. KENNETH M BURNHAM


Address: 3715 Dauphin St Ste 4400, Mobile, AL 36608-1727
Phone: 2516079797

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MS 0122395 05
AL BLUE CROSS BLUE SHIELD 510-96629 01
AL 000096629 05

Provider Secondary Practice Location

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

Other Providers KENNETH BURNHAM

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

Office Location

Street Address 3715 DAUPHIN ST STE 4400
City MOBILE
State AL
Zip Code 36608-1727

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821642687 Ruth Hattie Wagner Nurse Practitioner 3715 Dauphin St Ste 4400, Mobile, AL 36608-1727 2019-07-30

Providers in the same zip code

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 Information

Taxonomy Code 207RA0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Advanced Heart Failure and Transplant Cardiology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144348632 Ayman Haj Asaad Internal Medicine 619 19th St S, Birmingham, AL 35249 2007-03-26

Competitor

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City MOBILE
Zip Code 36608

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Dataset Information

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.

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