Individual provider Active NPI

John Stephen Burnett, M.D.

  • Family Medicine Physician
  • Massena, NY
National Provider Identifier
1699736017
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
177747 Issued in NY
Practice address
173 E Orvis St
Massena, NY 13662-2256
Phone
(315) 764-0501
Fax
(315) 764-5189
NPI assigned
Mar 28, 2006
Last updated
Aug 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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 177747 NY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080722000105 NY Practitioner - Family Practice 1456424647 Practice locations: Massena, NY

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
177747NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marnc Operating LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jburnett@hiemail.healtheconnections.org
  • Direct secure messaging: john.burnett@1286.chartlogic.direct-ci.com
  • Direct secure messaging: massena_family_practice@hiemail.healtheconnections.org

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1699736017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 E ORVIS ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136622256",
            "telephone_number": "315-764-0501",
            "fax_number": "315-764-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 E ORVIS ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136622256",
            "telephone_number": "315-764-0501",
            "fax_number": "315-764-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "JOHN",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "177747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massena, NY

Sources for this page

Verify at the official NPI Registry.