Andrew Burnette, D.O.
Individual provider Active NPI Emergency Medicine Physician · Lawton, OK
NPI 1154859148 · NPPES record last updated Oct 8, 2024
Key facts
- NPI
- 1154859148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- S8009 (TX)
- Practice address
- 3401 W Gore Blvd
Lawton, OK 73505-6332 - Phone
- (580) 585-5545
- NPI assigned
- Jun 2, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairfield Hospital District
Northeast Texas Emergency Physicians PLLC
Practice addresses (Care Compare)
125 Newman St
Fairfield, TX 75840-1419
Phone (903) 389-2121
1612 S Henderson Blvd
Kilgore, TX 75662-3518
Phone (903) 984-2492
Hospital & facility affiliations
- Freestone Medical Center
- Christus Good Shepherd Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181011001676 | TX | Practitioner - Emergency Medicine | 8224380753 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6374 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Specialists | Emergency Medicine | Current |
Accepting new patients |
| Fairfield Hospital District | Current |
Accepting new patients | |
| Fairfield Hospital District | Current |
Accepting new patients | |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current |
Accepting new patients |
| Fairfield Hospital District | Current | Accepting new patients | |
| Northeast Texas Emergency Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000
125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326
1612 S Henderson Blvd
Kilgore, TX 75662
Phone (903) 983-2492
323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488
Interoperability endpoints
- fmcaburne@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 6374 | OK | |
| Emergency Medicine Physician | 207P00000X | S8009 | TX | Yes |
Addresses
Primary practice location
3401 W Gore Blvd
Lawton, OK 73505-6332
Mailing address
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 585-5523
Other providers in Lawton, OK
- Shannon Marie Burkholder
- Masooda M Burki
- Jennifer Renae Burks
- Jessica Burma
- Latasha Renee Burnett
- Robert E Burns
- Tiffany Marie Burns
- Tracy Dawn Burns
- Augelica Andrea Burrell Fleming
- Cristy S Burrell
All providers in Lawton, OK · Emergency Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.