Provider Demographics
NPI:1376511055
Name:BURNETT-BOWIE, SHERRI-ANN MARYNA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SHERRI-ANN
Middle Name:MARYNA
Last Name:BURNETT-BOWIE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:SHERRI-ANN
Other - Middle Name:MARYNA
Other - Last Name:BURNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-8720
Mailing Address - Fax:617-724-2718
Practice Address - Street 1:15 PARKMAN ST # 730A
Practice Address - Street 2:ENDOCRINE ASSOCIATES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-726-8720
Practice Address - Fax:617-724-2718
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA161110207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0132951Medicaid
MAJ23438OtherBCBS MA
MA161110OtherTUFTS HEALTH PLAN
MA0132951Medicaid
MAJ23438OtherBCBS MA