Individual provider Active NPI

Emily Ellen Burnette, D.O

  • Obstetrics & Gynecology Physician
  • Lancaster, OH
National Provider Identifier
1588927834
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34.012129 Issued in OH
Practice address
1319 E Main St
Lancaster, OH 43130-4005
Phone
(740) 687-2229
Fax
(740) 785-9549
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 34.012129 OH Primary

Addresses

Primary practice location

1319 E Main St
Lancaster, OH 43130-4005

Mailing address

1319 E Main St
Lancaster, OH 43130-4005
Phone (740) 687-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170105001876 OH Practitioner - Obstetrics/Gynecology 2365757168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio University, College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

112 N Ewing St
Lancaster, OH 43130-3307
Phone (740) 689-6690

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 689-4404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.95 of 100Reported as group
Quality
43.39
Promoting interoperability
100
Improvement activities
40
Cost
76.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.012129OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Healthcare Professionals, Inc. CurrentSince Jan 6, 2019 Accepting new patients
Fairfield Healthcare Professionals Inc CurrentSince Jan 6, 2019 Accepting new patients
Fairfield Medical Center Past Accepting new patients
Fairfield Healthcare Professionals, Inc. Past Accepting new patients

Locations

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

112 N Ewing St
Lancaster, OH 43130
Phone (740) 687-1177

123 N Ewing St
Lancaster, OH 43130
Phone (740) 475-0058

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f17aed19-e2f6-49d4-bba0-64508a2357d2/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1588927834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304005",
            "telephone_number": "740-687-2229",
            "fax_number": "740-785-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304005",
            "telephone_number": "740-687-2229",
            "fax_number": "740-785-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "EMILY",
        "middle_name": "ELLEN",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.012129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.