JENNIFER KELLY BURZAWA (NPI# 1861715096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861715096 |
| Entity Type | Individual |
| Full Name | JENNIFER KELLY BURZAWA |
| Credential | M.D. |
| Practice Address |
3915 Talbot Rd S Ste 300 Renton WA 98055-5738 |
| Mailing Address |
P O Box 4439 Houston TX 77210-4439 |
| Practice Telephone | 4256565570 |
| Practice Fax Number | 4256565280 |
| Mailing Telephone | 7137922991 |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | MD60908012 | WA | Allopathic & Osteopathic Physicians |
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
MD60908012 | WA | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
N3525 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 213503001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 Holcombe Blvd, Houston, TX 770304009 | 7137926161 |
| Street Address |
3915 TALBOT RD S STE 300 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730101361 | Richard G Ingber | Internal Medicine | 3915 Talbot Rd S Ste 300, Renton, WA 98055-5738 | 2006-07-24 |
| 1730686528 | Lien Thibich Do | Pharmacist | 3915 Talbot Rd S Ste 300, Renton, WA 98055-5738 | 2018-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184714032 | Ron Edward Swensen | Obstetrics & Gynecology | 4033 Talbot Rd S, Ste 430, Renton, WA 98055-5772 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750520516 | Providence Health & Services Wa | Obstetrics & Gynecology | 1717 13th Street, Suite 300, Everett, WA 98201-1621 | 2009-02-18 |
| 1619992724 | Amy Elizabeth Bondurant | Obstetrics & Gynecology | 1101 Madison St Ste 1500, Seattle, WA 98104-3551 | 2006-07-12 |
| 1235192584 | Michael Allan Bidus | Obstetrics & Gynecology | 11511 Canterwood Blvd Nw Ste 100, Gig Harbor, WA 98332 | 2006-04-08 |
| 1902892987 | Melanie Kim Bergman | Obstetrics & Gynecology | 101 W 8th Ave Ste 1400, Spokane, WA 99204-2307 | 2005-09-23 |
| 1497249932 | Jaycee Wong | Obstetrics & Gynecology | 1003 S 5th St, Tacoma, WA 98405-4210 | 2018-06-19 |
| 1982947149 | Deirdre Knobeloch | Obstetrics & Gynecology | 1560 N 115th St Ste 101, Seattle, WA 98133 | 2013-04-05 |
| 1528303336 | Christopher Michael Tarney | Obstetrics & Gynecology | 9040 Jackson Ave, Tacoma, WA 98431-7075 | 2012-12-05 |
| 1750529244 | Franciscan Medical Group | Obstetrics & Gynecology | 1624 S I St, Tacoma, WA 98405-5016 | 2009-01-22 |
| 1508028788 | Kemi Morenikeji Doll | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-06-27 |
| 1093999740 | Renata Rose Urban | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-12-18 |
| 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.