Active NPI
David Burnette, PA
- Physician Assistant
- Huntington, WV
National Provider Identifier
1669410510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 00931
- Practice address
- 2860 3Rd Ave
Suite 230
Huntington, WV 25702-1454 - Phone
- (304) 525-3711
- Fax
- (304) 525-2748
- NPI assigned
- Jun 3, 2006
- Last updated
- Nov 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 00931 | WV | Primary |
Addresses
Primary practice location
2860 3Rd Ave
Suite 230
Huntington, WV 25702-1454
Mailing address
PO Box 88
5 E Alvon Road Suite 7
White Sulphur Springs, WV 24986-2373
Phone (304) 536-5030
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001162 | Other | WV | WORKERS COMPENSATION |
| P00949891 | Other | WV | RR MEDICARE |
| 001719576 | Other | WV | BLUE CROSS BLUE SHIELD |
| 7100170150 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 931 | WV | MD | Registered Dietitian |
| 00931 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary's Himg, LLC | Past | Accepting new patients | |
| Ultimate Health Services Inc | Past | Accepting new patients | |
| River Valley Emergency Physicians, Inc | Physician Assistant | Past | Accepting new patients |
| St. Mary's Medical Management Highlawn Lab | Past | Accepting new patients | |
| Ironton Emergency Physicians Inc | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Huntington, WV
- NPI 1649384660
Physician Assistant
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1184233454
-
- Clinical Medical Laboratory
- Huntington, WV
- NPI 1831378504
-
dba Huntington Internal Medicine Group
- Family Medicine Physician
- Huntington, WV
- NPI 1467492975
-
- Emergency Medicine Physician
- Ironton, OH
- NPI 1982968897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1669410510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88",
"address_2": "5 E ALVON ROAD SUITE 7",
"city": "WHITE SULPHUR SPRINGS",
"state": "WV",
"postal_code": "249862373",
"telephone_number": "304-536-5030",
"fax_number": "304-536-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 3RD AVE",
"address_2": "SUITE 230",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257021454",
"telephone_number": "304-525-3711",
"fax_number": "304-525-2748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETTE",
"first_name": "DAVID",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "00931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "3001162",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00949891",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "001719576",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100170150",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.