Ted H Burningham (NPI# 1174509129, PAC ID# 4183642754) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1174509129 |
| PAC ID by PECOS | 4183642754 |
| Professional Enrollment ID | I20141009001582 |
| Full Name | Ted H Burningham |
| Organization Legal Name | SANFORD HEALTH NETWORK |
| Address |
1430 N Hwy Sanford Clinic Jackson Jackson MN 56143-1093 |
| Phone Number | 5078472200 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6800707100 |
| Number of Group Practice Members | 252 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241315 | SANFORD JACKSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1430 N Hwy, Sanford Clinic Jackson, Jackson, MN 56143-1093 | 5078472200 | SANFORD HEALTH NETWORK |
| Organization Legal Name | SANFORD HEALTH NETWORK |
| Physicians | 211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kahley E Meyer | Physician Assistant | Sanford Health Network | 112 St Olaf St, Sanford Canby Medical Center, Canby, MN 56220-1433 |
| Terrence J Jatczak | Nurse Practitioner | Sanford Health Network | 300 S Byron Blvd, Chamberlain, SD 57325-9741 |
| Daniel W Christensen Jr. | Nurse Practitioner | Sanford Health Network | 400 N Hiawatha Dr, Canton, SD 57013-5800 |
| Amanda L Glanzer | Nurse Practitioner | Sanford Health Network | 1430 N Hwy, Sanford Clinic Jackson, Jackson, MN 56143-1093 |
| Amber Dione Van Voorst | Certified Registered Nurse Anesthetist (crna) | Sanford Health Network | 118 N 7th Ave, Sheldon, IA 51201-1235 |
| Jason D Spjut | General Surgery | Sanford Health Network | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 |
| David Ray Jones | Emergency Medicine | Sanford Health Network | 1018 6th Ave, Worthington, MN 56187-2202 |
| Marsha P Viers | Physician Assistant | Sanford Health Network | 920 Bell Ave, Westbrook, MN 56183-9669 |
| Tomasz P Lis | Family Medicine | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Josephine Dunn Junius | Family Medicine | Sanford Health Network | 215 N Market St, Suite 2, Lake Park, IA 51347-7706 |
| Street Address |
1430 N HWY SANFORD CLINIC JACKSON |
| City | JACKSON |
| State | MN |
| Zip | 56143-1093 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Glanzer | Nurse Practitioner | Sanford Health Network | 1430 N Hwy, Sanford Clinic Jackson, Jackson, MN 56143-1093 |
| Martha A Johnson | Physician Assistant | Sanford Health Network | 1430 N Hwy, Sanford Clinic Jackson, Jackson, MN 56143-1093 |
| Michelle D Vanhove | Nurse Practitioner | Sanford Clinic | 1430 N Hwy, Jackson, MN 56143-1093 |
| Ronald F Kline | Family Medicine | Sanford Health Network | 1430 N Hwy, Sanford Clinic Jackson, Jackson, MN 56143-1093 |
| Margaret J Hart | Family Practice | Sanford Health Network | 1430 N Hwy, Jackson, MN 56143-1093 |
| Alboury Sow | Family Practice | Sanford Health Network | 1430 N Hwy, Jackson, MN 56143-1093 |
| Erika I Freking | Nurse Practitioner | Sanford Health Network | 1430 N Hwy, Jackson, MN 56143-1093 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerstin L Cooley | Clinical Social Worker | Southwestern Mental Health Center Inc | 401 W St, Suite 0115, Jackson, MN 56143-1219 |
| Ree Leroy Tschetter | Clinical Social Worker | Southwestern Mental Health Center Inc | 401 W St, Suite 0115, Jackson, MN 56143-1219 |
| Anita M Handevidt | Nurse Practitioner | Southwestern Mental Health Center Inc | 401 W St, Suite 0115, Jackson, MN 56143-1219 |
| Clayton R Lewis | Chiropractic | 711 3rd St, Jackson, MN 56143-1614 | |
| Linda E Roggow | Clinical Social Worker | 204 2nd St, Jackson, MN 56143-1638 | |
| Charlotte Diane Loewen | Clinical Social Worker | Shalom Counseling and Consulting, LLC | 204 2nd St, Jackson, MN 56143-1638 |
| Matthew D Wasmund | Chiropractic | 612 2nd St, Jackson, MN 56143-1646 | |
| David M Kruse | Optometry | 709 2nd St, Jackson, MN 56143-1647 |
| City | JACKSON |
| Zip Code | 56143 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ted H Burningham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.