William Maxime Buron III, ANP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

2018031144 Issued in MO

Practice address

3550 S 4TH St
Leavenworth, KS 66048-5071

Phone

(913) 680-6220

Fax

(816) 943-2767

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Circle of Life

  • Community Based Hospice Care Agency
  • Springdale, AR
  • NPI 1386755460
  NPD
• Mercy Health Northwest Arkansas Communities

  • Multi-Specialty Clinic/Center
  • Rogers, AR
  • NPI 1265490916
  NPD (past)
• Richard W. Miles, M.D. & Assoc., PLLC

  • Internal Medicine Physician
  • Bella Vista, AR
  • NPI 1073748141
  NPD (past)
• Symed, LLC

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1154451144
  NPD (past)
• Symed, LLC

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1518096601
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1013965862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S. 4TH STREET",
            "address_2": "ATTN: PROVIDER ENROLLMENT CREDENTIALING",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "66048",
            "telephone_number": "913-680-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485071",
            "telephone_number": "913-680-6220",
            "fax_number": "816-943-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURON",
        "first_name": "WILLIAM",
        "middle_name": "MAXIME",
        "name_suffix": "III",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01527",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "137590",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2018031144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154714758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy Bui, MPT
• Ashley Bullock, MD
• Kristen Burcham, PHARMD
• Elizabeth Michelle Burden
• Mary Lou Burge, LPN
• Tasha Buselt
• John Michael Bush, PHARMD
• Chloe Byrd
• Jason Adam Byrd, 390200000X STUDENT
• Byron Leclerc DC PA

• Gerontology Nurse Practitioner in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Gerontology Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.