DR. RIESA M. BURNETT (NPI# 1396903589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396903589 |
Entity Type | Individual |
Full Name | DR. RIESA M. BURNETT |
Credential | MD |
Practice Address |
13450 N Meridian St Ste 244 Carmel IN 46032-7105 |
Mailing Address |
Po Box 12812 Belfast ME 04915-4040 |
Practice Telephone | 3173384303 |
Enumeration Date | 2008-05-25 |
Last Update Date | 2017-07-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 01067554A | IN | Allopathic & Osteopathic Physicians |
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
01067554A | IN | Allopathic & Osteopathic Physicians |
N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
35.126101 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | TEMPORARY STATE LICENCE | 11014009A | 01 |
Street Address |
13450 N MERIDIAN ST STE 244 |
City | CARMEL |
State | IN |
Zip Code | 46032-7105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447579008 | Ian C Sando | Plastic Surgery | 13450 N Meridian St Ste 244, Carmel, IN 46032 | 2010-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
Find all providers in zip 46032 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740223510 | Elizabeth A Grasee | Surgery | 12425 Old Meridian St, Suite #b1, Carmel, IN 46032-8724 | 2006-06-13 |
1255415790 | Eppley Plastic Surgery PC | Surgery | 11725 N Illinois St, Suite 140, Carmel, IN 46032-3008 | 2006-10-24 |
1730116518 | Debra C Bergman | Surgery | 12425 Old Meridian St, Suite #b1, Carmel, IN 46032-8724 | 2006-06-27 |
1447296405 | Barry L Eppley | Surgery | 11725 N Illinois St, Suite 140, Carmel, IN 46032-3008 | 2006-06-20 |
1093750713 | Janet K Turkle | Surgery | 11455 N Meridian St, Suite 150, Carmel, IN 46032-1624 | 2006-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982050340 | Eric Pittelkow | Surgery | 545 Barnhill Drive Emerson Hall, Suite 232, Indianapolis, IN 46202 | 2016-05-04 |
1639577794 | Petrungaro Plastic Surgery, LLC | Surgery | 800 Macarthur Blvd Ste 21, Munster, IN 46321-2918 | 2014-12-05 |
1164654257 | Erin Weber | Surgery | 1801 N Senate Blvd Ste 525, Indianapolis, IN 46202-1253 | 2009-08-21 |
1801036132 | Sholar Center for Aesthetic Surgery | Surgery | 445 Cross Pointe Blvd., Suite 230, Evansville, IN 44715-4013 | 2009-02-26 |
1013164425 | Dawn M Burgess | Surgery | 2701 Lincoln Ave, Evansville, IN 47714-1627 | 2008-08-27 |
1669677142 | Jaime Marie Ranieri | Surgery | 8051 S Emerson Ave Ste 450, Indianapolis, IN 46237-8667 | 2007-06-15 |
1770708158 | Kimberly K Short | Surgery | 8455 Clearvista Place, Indianapolis, IN 46256-2419 | 2007-04-13 |
1780770255 | Belarmino T Frogozo | Surgery | 501 E Hospital Ln Ste 107, Terre Haute, IN 47802-4230 | 2006-10-04 |
1578517553 | Robert E Frank | Surgery | 931 Ridge Rd, Suite A, Munster, IN 46321-1755 | 2006-05-22 |
1558344697 | William A Wooden | Surgery | 260 Emerson Hall, 545 Barnhill Dr, Indianapolis, IN 46202-5200 | 2005-11-22 |
Find all providers with the same taxonomy |
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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.