KREG BURNETTE MD NPI 1386701621

NPI Information

NPI: 1386701621
Provider Name: KREG BURNETTE, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
11100 EUCLID AVENUE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-7700
Get Directions

Kreg Burnette, MD is a pediatric emergency medicine pediatrics in Cleveland, OH. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Kreg Burnette, MD NPI is 1386701621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11100 EUCLID AVENUE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-7700

The NPI 1386701621 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 6/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	35085188	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000527951	OTHER	OHIO	ANTHEM
2	731269	OTHER	OHIO	BUCKEYE
3	2544063	MEDICAID	OHIO
4	1021120630001	OTHER	PENNSYLVANIA	PA MEDICAID
5	BU4210341	MEDICARE PIN	OHIO
6	414954	OTHER	OHIO	WELLCARE
7	000000221191	OTHER	OHIO	UNISON
8	7167702	OTHER	OHIO	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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