Michael Ned Burleson (NPI# 1790774990, PAC ID# 9133163553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1790774990 |
PAC ID by PECOS | 9133163553 |
Professional Enrollment ID | I20050616000654 |
Full Name | Michael Ned Burleson |
Organization Legal Name | REDWOOD FAMILY PRACTICE INC |
Address |
2350 Buhne St A Eureka CA 95501-3205 |
Phone Number | 7074434593 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
Graduation Year | 1961 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 3971770496 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050006 | ST JOSEPH HOSPITAL |
050028 | MAD RIVER COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
2350 Buhne St A, Eureka, CA 95501-3205 | 7074434593 | REDWOOD FAMILY PRACTICE INC |
Organization Legal Name | REDWOOD FAMILY PRACTICE INC |
Physicians | 1 |
Street Address |
2350 BUHNE ST A |
City | EUREKA |
State | CA |
Zip | 95501-3205 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa Michelle Okeefe | Clinical Social Worker | 10 W 7th St, Eureka, CA 95501-0299 | |
Gerald M Drucker | Psychologist, Clinical | 350 E St, Suite 404, Eureka, CA 95501-0352 | |
Andrew S Greer | Clinical Psychologist | 350 E St, Suite 202, Eureka, CA 95501-0378 | |
Laurie Ann Monroe | Clinical Social Worker | 350 E Street, Suite 408, Eureka, CA 95501-0379 | |
Virginia A Hassrick | Clinical Social Worker | 517 3rd St, Suite 35, Eureka, CA 95501-0460 | |
Janine Renee Davis | Clinical Social Worker | 517 3rd St, Suite 39, Eureka, CA 95501-0460 | |
Craig A Kraffert | Dermatology | Redding Dermatology Medical Group, Inc. | 525 2nd St, Suite 219, Eureka, CA 95501-0488 |
James B Pratt | Physician Assistant | Redding Dermatology Medical Group, Inc. | 525 2nd St, Suite 219, Eureka, CA 95501-0488 |
Donna L Childs | Occupational Therapy | 525 2nd St, Suite 103, Eureka, CA 95501-0488 | |
Robert E Soper | Psychiatry | 104 W St, Eureka, CA 95501-0834 | |
Find all physicians in zip 95501 |
City | EUREKA |
Zip Code | 95501 |
Specialty | FAMILY PRACTICE |
City + Specialty | EUREKA + FAMILY PRACTICE |
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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.