John Stephen Burnett, M.D.
Individual provider Active NPI Family Medicine Physician · Massena, NY
NPI 1699736017 · NPPES record last updated Aug 18, 2008
Key facts
- NPI
- 1699736017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 177747 (NY)
- Practice address
- 173 E Orvis St
Massena, NY 13662-2256 - Phone
- (315) 764-0501
- Fax
- (315) 764-5189
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Hahneman Medical College of the Pacific, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
173 E Orvis St
Massena, NY 13662-2256
Phone (315) 764-0501
Hospital & facility affiliations
- SLHS Massena, Inc
- Canton-Potsdam Hospital
- Massena Rehabilitation & Nursing Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20080722000105 | NY | Practitioner - Family Practice | 1456424647 | Practice locations: Massena, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marnc Operating LLC | Past | Accepting new patients |
Interoperability endpoints
- massena_family_practice@hiemail.healtheconnections.org
- john.burnett@1286.chartlogic.direct-ci.com
- jburnett@hiemail.healtheconnections.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 177747 | NY | Yes |
Addresses
Primary practice location
173 E Orvis St
Massena, NY 13662-2256
Mailing address
173 E Orvis St
Massena, NY 13662-2256
Phone (315) 764-0501
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01366105 | Medicaid | NY |
Other providers in Massena, NY
- Maris Brockway
- Madelayne O Brown
- Andrew Brush
- Denise Shorkey Buffham
- Carmen Burley
- Max Tyler Buscaglia
- Byung S. Lim , MD, PC
- Gina Caldwell
- Can/Am Youth Services, Inc.
- Luis Ivan Canales
All providers in Massena, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2008. 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.