S. Mark Burnett, M.D., P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0049399 Issued in FL

Legal business name

S. MARK BURNETT, M.D., P.A.

Practice address

1545 Mound St
Sarasota, FL 34236-7787

Phone

(941) 957-3376

Fax

(941) 951-1966

NPI assigned

Apr 5, 2011

Organization subpart

No

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

Authorized official

Name

S. Mark Burnett, M.D.

Title

President

Phone

(941) 957-3376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Mark Burnett, MD

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1063590149
  Medicare reassignment NPD
• Brandon G Violette, PA-C

  • Physician Assistant
  • Sarasota, FL
  • NPI 1790179125
  Medicare reassignment

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1639468101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 MOUND ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367787",
            "telephone_number": "941-957-3376",
            "fax_number": "941-951-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 MOUND ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367787",
            "telephone_number": "941-957-3376",
            "fax_number": "941-951-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. MARK BURNETT, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-957-3376",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0049399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Rzepka, PT
• Karen Ann Rzepka, MBA, PT
• Tracey Rzepka, APRN
• S & J Healthcare, LLC
• S Aull, MD PA
• Elea Saba
• Michele Joy Sabattini, DPT, MPT, CCI, OMT
• John R Sabin Jr., PA-C
• Valeriy Sabodash, M.D.
• Panyada Sachs

• Dermatology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.