Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 04-25888 | KS |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 04-25888 | KS |
NPI | 1194834168 |
---|---|
Provider Name | Douglas C Burton |
First Address | Kansas City, KS 66160-7816 |
Second Address | Kansas City, KS 66160 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 22/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100369280A | (05) | KS |
200039499 | RAILROAD MEDICARE (01) | |
205147200 | (05) | MO |
26997022 | BCBS (01) | MO |
380380 | FIRSTGUARD (01) | KS |
G97839 | (02) |