Henry W Burnett, M.D., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9600016 Issued in NC

Legal business name

HENRY W BURNETT, M.D., P.A.

Practice address

110 Oakwood Dr
Suite 380
Winston Salem, NC 27103-1957

Phone

(336) 765-3930

Fax

(336) 765-3483

NPI assigned

Mar 5, 2009

Organization subpart

No

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

Authorized official

Name

Henry W Burnett, M.D.NPI 1023078821

Title

President/Owner

Phone

(336) 765-3930

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Warren Burnett, MD

  • Retina Specialist (Ophthalmology) Physician
  • Winston Salem, NC
  • NPI 1023078821
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1851531602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5231",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271135231",
            "telephone_number": "336-765-3930",
            "fax_number": "336-765-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OAKWOOD DR",
            "address_2": "SUITE 380",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031957",
            "telephone_number": "336-765-3930",
            "fax_number": "336-765-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY W BURNETT, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "336-765-3930",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9600016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Hendrix
• Emma Margaret Hendry, MS
• Krystin Karee Henley, M.S., LMFT
• Jeffrey Scott Hennis, RPH
• Katherine Henriques, PA-C
• Lakisha Henry-Simmons
• Daphne Rena Henry
• Freda C. Henry, CCC-SLP
• Keith Anthony Henry, M.D.
• Daryl Steven Henshaw, M.D.

• Ophthalmology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.