Jeffrey Mark Burnham in Baton Rouge - Sports Medicine

Jeffrey Mark Burnham - NPI 1295729481

Jeffrey Mark Burnham is a Sports Medicine in Baton Rouge, Louisiana. Jeffrey Mark Burnham practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jeffrey Mark Burnham is 1295729481. The last update date is 2021-03-30.

Jeffrey Mark Burnham's current location address is 12916 Morgan Meadow Avenue, Baton Rouge, Louisiana. You can contact this provider via phone number 2259389287 and fax number 2252371786. The mailing address for Jeffrey Mark Burnham is 12916 Morgan Meadow Avenue, Baton Rouge, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Mark Burnham
Address 12916 Morgan Meadow Avenue, Baton Rouge, Louisiana
Phone Number 2259389287
Fax Number 2252371786
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1295729481
Provider Enumeration Date 2005-09-02
Last Updated Date 2021-03-30

Provider Mailing Address Detail

Address 12916 Morgan Meadow Avenue
City Baton Rouge
State Louisiana (LA)
Post Code 70818
Phone Number 2259389287
Fax Number 2252371786

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No 17109
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1357502 LA --
80179868 LA RAILROAD MEDICARE

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FAQs about Jeffrey Mark Burnham

What is the unique identification code assigned to Jeffrey Mark Burnham by the Centers for Medicare & Medicaid Services?

The Jeffrey Mark Burnham has been issued the NPI (National Provider Identifier) 1295729481. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jeffrey Mark Burnham is located?

The Jeffrey Mark Burnham is situated at the following address: 12916 Morgan Meadow Avenue, Baton Rouge, LA, 70818.

What is Jeffrey Mark Burnham's area of expertise and its corresponding taxonomy classification?

The Jeffrey Mark Burnham's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their areas of practice.

On what date did the Jeffrey Mark Burnham receive its 1295729481 assignment from the Centers for Medicare & Medicaid Services?

The Jeffrey Mark Burnham was assigned its 1295729481 by the Centers for Medicare & Medicaid Services on 2005-09-02.

When was the information pertaining to Jeffrey Mark Burnham most recently updated or revised?

The details related to Jeffrey Mark Burnham, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-30.

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