Dr. Robert J Burnett
Cardiothoracic Vascular Surgeon
2003 Kootenai Health Way Ste 300
Coeur D Alene
, Idaho 83814-6051
Dr. Robert J Burnett
Cardiothoracic Vascular Surgeon
2003 Kootenai Health Way Ste 300
Coeur D Alene
, Idaho 83814-6051
(509) 462-5059
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Robert J Burnett
- 122 W 7th Ave Ste 110
- Spokane, WA
- Zip : 99204-2349
- Fax : (509) 462-5059
- Phone : (509) 456-0262
Second Address
- Dr. Robert J Burnett
- 2003 Kootenai Health Way Ste 300
- Coeur D Alene, ID
- Zip : 83814-6051
- Fax : (208) 666-2556
- Phone : (208) 666-2552
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | M-8773 | ID |
| N | 208G00000X | Cardiothoracic Vascular Surgeon | MD00036338 | WA |
National Provider Identifier
| NPI | 1104824150 |
|---|---|
| Provider Name | Dr. Robert J Burnett |
| First Address | Spokane, WA 99204-2349 |
| Second Address | Coeur D Alene, ID 83814-6051 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2005 |
| Last Update Date | 01/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11104691 | MEDICARE PTAN (01) | ID |
| 806593702 | (05) | ID |
| 8357345 | (05) | WA |
| F72070 | (02) | |
| G8870910 | MEDICARE PTAN (01) | WA |
| G8878163 | MEDICARE PTAN (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.