JEREMY BURRESS


Address: 2451 Seabring Dr, Lake Havasu City, AZ 86403-3156
Phone: 9288466397

JEREMY BURRESS (NPI# 1407202989) 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) 1407202989
Entity Type Individual
Full Name JEREMY BURRESS
Practice Address 2451 Seabring Dr
Lake Havasu City
AZ 86403-3156
Practice Telephone 9288466397
Mailing Telephone 9288466397
Enumeration Date 2016-05-13
Last Update Date 2016-05-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 2451 SEABRING DR
City LAKE HAVASU CITY
State AZ
Zip Code 86403-3156

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104479039 Liska's Apothecary Shop, Inc. Assisted Living Facility 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 2019-07-19
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1942727250 Ideal Health Care, L.L.C. Prosthetic/Orthotic Supplier 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 2017-08-28
1063965036 Cerner Health Connections, Inc Clinic/Center 89 Civic Center Blvd, Lake Havasu City, AZ 86403 2016-07-26
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1912301425 Arizona Havasu Bdm Pak LLC Dentist 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 2014-10-13
1386047850 Emily E Vona Nurse Practitioner 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 2014-09-29
1750700589 Thomas Wennergren Pharmacist 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 2014-04-09
1285997460 Jamie L Lemire Pharmacist 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 2012-06-21
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Taxonomy Information

Taxonomy Code 246ZE0600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Electroneurodiagnostic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043613987 Intraoperative Neurological Monitoring Diagnostics, LLC Specialist/Technologist, Other 1990 Mcculloch Blvd N # D281, Lake Havasu City, AZ 86403-5749 2014-10-07
1124429824 Tyler Savage Specialist/Technologist, Other 3333 Chemehuevi Blvd, Lake Havasu City, AZ 86406-7143 2014-09-12
1316319460 Sarah Fraser Specialist/Technologist, Other 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 2015-10-28

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1366987265 Jing Zhang Specialist/Technologist, Other 2301 E Sanoque Ct, Gilbert, AZ 85298-6124 2016-12-31
1093257305 Meagan Re Specialist/Technologist, Other 3131 N 70th St, Scottsdale, AZ 85251-6383 2016-11-17
1699217919 Christopher Townsend Specialist/Technologist, Other 7161 E Rancho Vista Dr, Unit 4005, Scottsdale, AZ 85251-1495 2016-11-17
1588112072 Standard Iom, LLC Specialist/Technologist, Other 5115 N Dysart Rd Ste 202 #197, Litchfield Park, AZ 85340-3036 2016-09-14
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Competitor

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City LAKE HAVASU CITY
Zip Code 86403

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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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