Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | R6E77 | MO |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | R6E77 | MO |
NPI | 1225071129 |
---|---|
Provider Name | Dr. Michael F Burns |
First Address | Saint Louis, MO 63141-7083 |
Second Address | Saint Louis, MO 63141-7083 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 29/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0900104 | UNITED HEALTH CARE (01) | MO |
179488 | HEALTHLINK (01) | MO |
200044115 | RAILROAD MEDICARE (01) | MO |
202176210 | (05) | MO |
21525 | BLUE CROSS BLUE SHIELD (01) | MO |
3140893002 | CIGNA (01) | MO |
4457981 | AETNA (01) | MO |
83368V3223 | GROUP HEALTH PLAN (01) | MO |
A10158 | (02) |