John Stanley Burnham, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-05-2279B Issued in OH

Practice address

1716 N Cross St
Dover, OH 44622-1043

Phone

(330) 364-8868

Fax

(330) 364-4732

NPI assigned

Nov 14, 2005

Last updated

Nov 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Family Practice

Education

Ohio State University College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union Physician Services LLCGroup PAC ID 0143366591, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital Hospital, Dover, OH, CCN 360010
• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
• Twin City Medical Center Hospital, Dennison, OH, CCN 361302

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jburnham1237494@direct.ccf.org
• Direct secure messaging: johnburnham@dpfm.allscriptsdirect.net

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.

• Union Physician Services, LLC

  • Family Medicine Physician
  • Dover, OH
  • NPI 1215169826
  Medicare reassignment Care Compare group NPD
• Kapper Chiropractic Center, Inc.

  • Chiropractor
  • Dover, OH
  • NPI 1306369236
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation
• The Union Hospital Association

  dba Union Hospital

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921
  Care Compare affiliation
• Trinity Hospital Twin City

  • Critical Access Hospital
  • Dennison, OH
  • NPI 1992096192
  Care Compare affiliation

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1790766012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DUBLIN DRIVE",
            "address_2": "SUITE A",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "44622",
            "telephone_number": "330-364-8868",
            "fax_number": "330-364-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 N CROSS ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221043",
            "telephone_number": "330-364-8868",
            "fax_number": "330-364-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "JOHN",
        "middle_name": "STANLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-05-2279B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Lee Brown, D.C.
• Bryan Internal Medicine Specialties, Inc
• Joseph E Bryan, MD
• Larry Duane Bucher, D.D.S.
• Jade Marie Burger, CDCA
• Danielle Burns
• Brock Burris, RN
• Jamie Lynn Butler, NP-C
• Nicholas Lee Butler
• Cadiz Vision Center LTD (Jill M. Barker O.D.)

• Family Medicine Physician in Dover, OH
• Providers in Dover, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.

Verify at the official NPI Registry.