DR. GREGORY M BURNETT (NPI# 1679834592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679834592 |
Entity Type | Individual |
Full Name | DR. GREGORY M BURNETT |
Credential | M.D. |
Practice Address |
1001 W Pratt St Baltimore MD 21223-2679 |
Practice Telephone | 4434623400 |
Practice Fax Number | 4434623091 |
Mailing Telephone | 4434623400 |
Enumeration Date | 2012-06-07 |
Last Update Date | 2020-09-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
0101268493 | VA | Allopathic & Osteopathic Physicians |
Y | 2083A0300X | D0089668 | MD |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SAMHSA MAT WAIVER | XB9390751 | 01 | |
DEA | FB9390751 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801446760 | Gregory K Burnett | Emergency Medicine | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2019-09-12 |
1073802062 | Gregory Paul Burnett | Family Medicine | 10201 Se Main St Ste 10, Portland, OR 97216 | 2011-03-31 |
1912105917 | Gregory Rex Burnett | Dentist | 150 N Jackson Ave, #211, San Jose, CA 95116-1908 | 2007-07-11 |
1679538243 | Gregory A Burnett | Physical Therapist | 2716 Ashton Dr, Wilmington, NC 28412-2489 | 2006-04-18 |
Street Address |
1001 W PRATT ST |
City | BALTIMORE |
State | MD |
Zip Code | 21223-2679 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497701783 | Baltimore Behavioral Health, Inc. | Clinic/Center | 1001 W Pratt St, Baltimore, MD 21223-2662 | 2006-05-26 |
1346841665 | Raymond Velencia | Counselor | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2020-11-03 |
1033517727 | Caring Hands Amdc of Greater Baltimore, Inc | Clinic/Center | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2014-12-11 |
1821409038 | Britt A.l. Gayle | Family Medicine | 1001 W Pratt St, Baltimore, MD 21223 | 2014-05-12 |
1649694001 | Charlene Briddell | Counselor | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2014-02-05 |
1497178727 | Ngozika P Okoye | Nurse Practitioner | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2014-01-22 |
1992058549 | Baltimore Behavioral Health | Community/Behavioral Health | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2012-10-19 |
1013208198 | Aaron David Greenblatt | Family Medicine | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2011-04-25 |
1497056543 | Alexis Jordan Tchuise | Counselor | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2010-11-05 |
1649571852 | Lindsey S. Baldwin | Counselor | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2010-11-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649743972 | Dominique Olivier | Nurse Practitioner | Bon Secours Hospital, 2000 West Baltimore Street, Baltimore, MD 21223 | 2019-01-09 |
1659858769 | Millicent Boa-amponsem | Registered Nurse | 907 Ramsay St, Baltimore, MD 21223 | 2018-07-20 |
1023527231 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 13-19 South Fulton Avenue, Baltimore, MD 21223 | 2017-09-20 |
1245766468 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 1208-10 James Street, Baltimore, MD 21223 | 2017-05-08 |
1750737599 | Natasia D Brown | Social Worker | 1501 W. Saratoga St., Baltimore, MD 21223 | 2016-05-11 |
1104298355 | Independence Foundation, Inc. | Community/Behavioral Health | 13 S. Carrollton Ave, Baltimore, MD 21223 | 2015-10-28 |
1588095087 | Jr Healthcare Associates Dba Baltimore Behavioral Health | Clinic/Center | 1101 W. Pratt St., Baltimore, MD 21223 | 2013-12-09 |
1639501448 | Behavioral Health Network LLC | Counselor | 1101 W. Pratt Street, Baltimore, MD 21223 | 2013-08-02 |
1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
1790060317 | Bestcare Pharmacy, Inc | Pharmacy | 3061 Frederick Avenue, Baltimore, MD 21223 | 2011-10-14 |
Find all providers in zip 21223 |
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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.