Organization Active NPI

Stephen Macbain Burns, MD, PC

  • Pediatrics Physician
  • Newport, OR
National Provider Identifier
1194950048
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD11835 Issued in OR
Legal business name
STEPHEN MACBAIN BURNS, MD, PC
Practice address
775 SW 9TH Street,
Annex a
Newport, OR 97365
Phone
(541) 265-5362
Fax
(541) 265-9304
NPI assigned
May 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Stephen Macbain Burns, M.D.
Title
Owner/Physician
Phone
(541) 265-5362

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MD11835 OR Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MD00030487 WA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X M6277 ID

Addresses

Primary practice location

775 SW 9TH Street,
Annex a
Newport, OR 97365

Mailing address

775 SW 9TH Street,
Annex a
Newport, OR 97365
Phone (541) 265-5362

Other identifiers 1

IdentifierTypeStateIssuer
168740MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1194950048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 SW 9TH STREET,",
            "address_2": "ANNEX A",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "97365",
            "telephone_number": "541-265-5362",
            "fax_number": "541-265-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SW 9TH STREET,",
            "address_2": "ANNEX A",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "97365",
            "telephone_number": "541-265-5362",
            "fax_number": "541-265-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN MACBAIN BURNS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MACBAIN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "541-265-5362",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD11835",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00030487",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "M6277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168740",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.