Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 35-043850 | OH |
NPI | 1013933803 |
---|---|
Provider Name | Edward N Burney |
First Address | Euclid, OH 44117-1714 |
Second Address | Mayfield Hts, OH 44124-4071 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 31/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000127595 | ANTHEM (01) | OH |
000000221311 | UNISON (01) | OH |
000000512664 | ANTHEM (01) | OH |
0515393 | (05) | OH |
0660738 | AETNA (01) | OH |
363385 | WELLCARE (01) | OH |
738038 | BUCKEYE (01) | OH |
C02475 | (02) | OH |
P00398012 | RAILROAD MEDICARE (01) | OH |