Active NPI
Jennifer Lynn Sweat-Burdette, M.D.
- Pediatrics Physician
- Miamisburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35123606
- Practice address
- 3333 W Tech Rd Ste 220
Miamisburg, OH 45342-0956 - Phone
- (937) 885-4475
- Fax
- (937) 885-3670
- NPI assigned
- Jul 7, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35123606 | OH | Primary |
Addresses
Primary practice location
3333 W Tech Rd Ste 220
Miamisburg, OH 45342-0956
Mailing address
3333 W Tech Rd Ste 220
Miamisburg, OH 45342-0956
Phone (937) 885-4475
Other practice location 1
3333 W Tech Rd Ste 220
Miamisburg, OH 45342-0956
Phone (937) 885-4475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105307 | Medicaid | OH |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241119002088 | OH | Practitioner - Pediatric Medicine | 2668907338 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35123606 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Children'S Specialty Physicians, Inc. | Pediatrics | Current | Accepting new patients |
| Dayton Children'S Specialty Physicians, Inc. | Pediatrics | Current | Accepting new patients |
Locations
1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600
1010 Valley St
Dayton, OH 45404
Phone (937) 641-3023
967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330
3333 W Tech Rd
Ste 120
Miamisburg, OH 45342
Phone (937) 748-6116
3333 W Tech Rd
Ste 220
Miamisburg, OH 45342
Phone (937) 748-6116
76 Remick Blvd
Springboro, OH 45066
Phone (937) 641-4040
Interoperability endpoints
- jennifer.sweat.1@19649.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Dayton, OH
- NPI 1225192610
OH, Pediatrics
-
- Pediatrics Physician
- Dayton, OH
- NPI 1780467555
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1831486083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 W TECH RD STE 220",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453420956",
"telephone_number": "937-885-4475",
"fax_number": "937-885-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 W TECH RD STE 220",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453420956",
"telephone_number": "937-885-4475",
"fax_number": "937-885-3670"
}
],
"practiceLocations": [
{
"address_1": "3333 W Tech Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453420956",
"country_code": "US",
"telephone_number": "937-885-4475",
"fax_number": "937-885-3670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWEAT-BURDETTE",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35123606",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0105307",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miamisburg, OH
- Ronald Suprenant, M.D.
- Leslie Michelle Susong
- Lisa Sutton
- Amanda Paige Swafford, MSN, APRN, PMHNP-BC
- Krisalyn Swayze Massaro, MD
- Sycamore Internal Medicine and Women'S Wellness Center Inc
- Sycamore Primary Care Group
- Sycamorespring Health Care and Rehabilitation LLC
- Kara Danielle Szlag, MD
- Lori Taylor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.