Active NPI
David Burnette, M.D.
- Diagnostic Radiology Physician
- Wailuku, HI
National Provider Identifier
1699794321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD6850
- Practice address
- 2180 Main St
Wailuku, HI 96793-1666 - Phone
- (808) 242-6464
- Fax
- (808) 242-4292
- NPI assigned
- Jul 19, 2006
- Last updated
- Nov 16, 2007
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD6850 | HI | Primary |
Addresses
Primary practice location
2180 Main St
Wailuku, HI 96793-1666
Mailing address
2180 Main St
Wailuku, HI 96793-1666
Phone (808) 242-6464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 990176859 | Other | HI | HMAA |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD6850 | HI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Medical Services Corporation LLC | Diagnostic Radiology | Past | Accepting new patients |
| Radia Inc P S | Diagnostic Radiology | Past | Accepting new patients |
| Lagrange Troup County Hospital Authority | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Kelly Medical Corporation
- Emergency Medicine Physician
- Welch, WV
- NPI 1033154810
Diagnostic Radiology
-
dba West Georgia Medical Center
- General Acute Care Hospital
- Lagrange, GA
- NPI 1992779748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1699794321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 MAIN ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931666",
"telephone_number": "808-242-6464",
"fax_number": "808-242-4292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 MAIN ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931666",
"telephone_number": "808-242-6464",
"fax_number": "808-242-4292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETTE",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "MD6850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMAA",
"identifier": "990176859",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.