Charles Ryan Burkett (NPI# 1548654189, PAC ID# 6901114875) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1548654189 |
| PAC ID by PECOS | 6901114875 |
| Professional Enrollment ID | I20180221002015 |
| Full Name | Charles Ryan Burkett |
| Organization Legal Name | AUDUBON COUNTY MEMORIAL HOSPITAL |
| Address |
515 Pacific Ave Audubon IA 50025-1052 |
| Phone Number | 7125632611 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7618866096 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161330 | AUDUBON COUNTY MEMORIAL HOSPITAL |
| 161376 | CASS COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 515 Pacific Ave, Audubon, IA 50025-1052 | 7125632611 | AUDUBON COUNTY MEMORIAL HOSPITAL |
| Organization Legal Name | AUDUBON COUNTY MEMORIAL HOSPITAL |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey M Maire | General Surgery | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Mary J Grieder | Nurse Practitioner | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Stephanie Lorraine Vampola | Family Medicine | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Terry L Sprague | Family Practice | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Rae Marie Mcdivitt | Nurse Practitioner | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| James M Cunningham | Family Practice | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Anissa June Irlmeier | Physician Assistant | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Christopher Francis Stubbs | Family Practice | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Street Address |
515 PACIFIC AVE |
| City | AUDUBON |
| State | IA |
| Zip | 50025-1052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne M Nelson | Physician Assistant | Bergman Folkers Plastic Surgery PC | 515 Pacific Ave, Audubon, IA 50025-1056 |
| Jeffrey M Maire | General Surgery | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Mary J Grieder | Nurse Practitioner | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Roy Abraham | Orthopedic Surgery | Miller Orthopaedic Affiliates PC | 515 Pacific Ave, Audubon, IA 50025-1056 |
| Suzanne A Feigofsky | Cardiac Electrophysiology | Catholic Health Initiatives-iowa Corp | 515 Pacific Ave, Audubon, IA 50025-1056 |
| Kyle G Ulveling | Cardiovascular Disease (cardiology) | Catholic Health Initiatives-iowa Corp | 515 Pacific Ave, Audubon, IA 50025-1056 |
| Shakuntala V Advani | Cardiovascular Disease (cardiology) | Catholic Health Initiatives-iowa Corp | 515 Pacific Ave, Audubon, IA 50025-1056 |
| Stephanie Lorraine Vampola | Family Medicine | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Terry L Sprague | Family Practice | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Rae Marie Mcdivitt | Nurse Practitioner | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Cunningham | Family Practice | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Anissa June Irlmeier | Physician Assistant | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Christopher Francis Stubbs | Family Practice | Audubon County Memorial Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 |
| Douglas M Olsen | Chiropractic | 521 Leroy St, Audubon, IA 50025-1206 | |
| Jeffrey M Goergen | Optometry | Cass County Memorial Hospital | 415 Tracy St, Audubon, IA 50025-1217 |
| City | AUDUBON |
| Zip Code | 50025 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | AUDUBON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles Ryan Burkett.
| 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.