Individual provider Active NPI

Jennifer Burns, D.O.

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1669646097
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OT011318 Issued in PA
Practice address
1730 W Chew St
Allentown, PA 18104-5549
Phone
(610) 969-4970
Fax
(610) 969-4952
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT011318 PA Primary

Addresses

Primary practice location

1730 W Chew St
Allentown, PA 18104-5549

Mailing address

1730 W Chew St
Allentown, PA 18104-5549
Phone (610) 969-4970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20120430000227 WV Practitioner - Family Practice 3375691686 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT011318PAMDFamily Medicine Physician
2589WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Hospitals, Inc. CurrentSince Sep 1, 2021 Accepting new patients
West Virginia University Hospitals Inc Family Medicine Current Accepting new patients
West Virginia University Hospitals, Inc. CurrentSince Sep 1, 2021 Accepting new patients
James L Comerci MD Past Accepting new patients
International Healing Ministries Family Medicine PastSince Jul 25, 1995 Accepting new patients

Locations

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1669646097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 W CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045549",
            "telephone_number": "610-969-4970",
            "fax_number": "610-969-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045549",
            "telephone_number": "610-969-4970",
            "fax_number": "610-969-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JENNIFER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT011318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.