Active NPI
Jeremy Mark Burnham, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 304948
- Practice address
- 10310 The Grove Blvd
Baton Rouge, LA 70836 - Phone
- (225) 761-5200
- Fax
- (225) 761-5450
- NPI assigned
- Jun 14, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | R2714 | KY | |
| Orthopaedic Surgery Physician | 207X00000X | 304948 | LA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 304948 | LA | Primary |
Addresses
Primary practice location
10310 The Grove Blvd
Baton Rouge, LA 70836
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other practice location 1
800 Rose St
Lexington, KY 40505-0001
Phone (859) 218-3044
Other practice location 2
800 Rose St
Lexington, KY 40505-0001
Phone (859) 218-3044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10310 The Grove Blvd
Baton Rouge, LA 70836-6455
Phone (225) 761-5200
Hospital & facility affiliations
- Ochsner Medical Center - Baton Rouge
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2714 | KY | MD | Orthopaedic Surgery Physician |
| 304948 | LA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients |
Locations
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
9001 Summa Ave
Baton Rouge, LA 70809
10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239
3401 North Blvd
Ste 200
Baton Rouge, LA 70806
Phone (225) 336-3100
200 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-2940
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
Interoperability endpoints
- jburnham517978@direct.ochsner.org
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 and National Provider Directory roles.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Denham Springs, LA
- NPI 1447661947
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1053360651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1780979146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10310 THE GROVE BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70836",
"telephone_number": "225-761-5200",
"fax_number": "225-761-5450"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405050001",
"country_code": "US",
"telephone_number": "859-218-3044",
"fax_number": "859-323-2412",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Rose St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405050001",
"country_code": "US",
"telephone_number": "859-218-3044",
"fax_number": "859-323-2412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNHAM",
"first_name": "JEREMY",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-14",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "R2714",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "304948",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "LA",
"license": "304948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.