KREG BURNETTE


Address: 11100 Euclid Avenue, Cleveland, OH 44106
Phone: 2168447700

KREG BURNETTE (NPI# 1386701621) 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) 1386701621
Entity Type Individual
Full Name KREG BURNETTE
Credential MD
Practice Address 11100 Euclid Avenue
Cleveland
OH 44106
Mailing Address 3605 Warrensville Ctr Rd
Msc 9152
Shaker Hts
OH 44122
Practice Telephone 2168447700
Mailing Telephone 2162866299
Mailing Fax Number 2162866341
Enumeration Date 2007-01-03
Last Update Date 2008-06-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0204X Pediatrics
Specialization: Pediatric Emergency Medicine
35085188 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA PA MEDICAID 1021120630001 01
OH AETNA 7167702 01
OH UNISON 000000221191 01
OH ANTHEM 000000527951 01
OH BUCKEYE 731269 01
OH WELLCARE 414954 01
OH 2544063 05

Office Location

Street Address 11100 EUCLID AVENUE
City CLEVELAND
State OH
Zip Code 44106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487659009 Richard Josephson Internal Medicine 11100 Euclid Avenue, Cleveland, OH 44106 2005-06-20
1538768270 Rohit Kesarwani Neurological Surgery 11100 Euclid Avenue, University Hospitals Cleveland Medical Center, Departme, Cleveland, OH 44106 2020-10-23
1720609449 Soheil Hany El-azzouni Student in an Organized Health Care Education/Training Program 11100 Euclid Avenue, Cleveland, OH 44106 2020-05-05
1548895204 Jennifer Gardner Nurse Practitioner 11100 Euclid Avenue, Mather Suite 1704, Cleveland, OH 44106 2020-03-03
1811539398 Erin Collard Nurse Practitioner 11100 Euclid Avenue, Seidman Cancer Center 4th Floor, Berger Office, Cleveland, OH 44106 2019-10-16
1245795236 Olumide Babatope Ogunwumi Physician Assistant 11100 Euclid Avenue, Room 3001, Lerner Tower 3, Cleveland, OH 44106 2019-02-05
1992276661 Catherine Lee Clinical Neuropsychologist 11100 Euclid Avenue, Department of Neurology, Cleveland, OH 44106 2018-12-06
1396258273 Brittany J Smith Registered Nurse 11100 Euclid Avenue, Cleveland, OH 44106 2017-11-14
1457887994 Akisha Glasgow Student in an Organized Health Care Education/Training Program 11100 Euclid Avenue, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 2017-05-03
1952835068 Morgan Brynn Weber Student in an Organized Health Care Education/Training Program 11100 Euclid Avenue, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 2017-04-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295347706 Adeeb Oweidat Anesthesiology 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 2020-08-18
1104434240 Bradly Miner Student in an Organized Health Care Education/Training Program Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 2020-07-15
1306466974 Ho Jun Lee Student in an Organized Health Care Education/Training Program 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 2020-04-23
1528687837 Shaleeka Cornelius Student in an Organized Health Care Education/Training Program 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 2020-04-16
1598393175 Mikdat Ulas Student in an Organized Health Care Education/Training Program 111000 Euclid Avenue, Cleveland, OH 44106 2020-03-30
1790335651 Michelle Clark Home Health Aide 1794 E 87th St, Cleveland, OH 44106 2019-09-12
1881246783 Oziel Valdez Sanchez Student in an Organized Health Care Education/Training Program 11900 Euclid Ave, Cleveland, OH 44106 2019-07-10
1487216842 Betina Griens Porto Dentist 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 2019-07-05
1407417140 Rebecca Petts Dentist 9601 Chester Ave, Cleveland, OH 44106 2019-06-24
1023677259 Moeen Al Weshah Student in an Organized Health Care Education/Training Program 9601 Chester Ave # 239j3, Cleveland, OH 44106 2019-06-11
Find all providers in zip 44106

Taxonomy Information

Taxonomy Code 2080P0204X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Emergency Medicine

Taxonomy Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811044167 Scott M Bouton Pediatrics 11000 Euclid Ave, Cleveland, OH 44106-1714 2007-01-05
1467746297 David Michael Shafran Pediatrics 11100 Euclid Ave, Cleveland, OH 44106-1716 2011-06-09
1861526774 Richard J. Adams Pediatrics 18101 Lorain Ave, Cleveland, OH 44111-5612 2007-03-15
1407907058 Brendan J Kilbane Pediatrics 11100 Euclid Avenue, Cleveland, OH 44106 2007-01-12
1114085610 Patrick T Wilson Pediatrics 11100 Euclid Avenue, Cleveland, OH 44106 2006-12-05
1669569661 Brett A Luxmore Pediatrics 11100 Euclid Ave, Cleveland, OH 44106-1716 2006-10-10
1053406678 Regina M Rosace Pediatrics 11100 Euclid Avenue, Cleveland, OH 44106 2006-10-03
1265540033 Laura D Goldberg Pediatrics 11100 Euclid Ave, Cleveland, OH 44106-1716 2006-08-29
1023039559 Lynne A Eversman Pediatrics 11100 Euclid Ave, Cleveland, OH 44106-1716 2006-07-21
1386665818 Martha S Wright Pediatrics 11100 Euclid Ave, Cleveland, OH 44106-1716 2006-07-21
Find all providers in CLEVELAND

Competitor

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City CLEVELAND
Zip Code 44106

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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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