Individual provider Active NPI

Donald W Burkindine, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Marshfield, MO
National Provider Identifier
1245235498
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
R3D17 Issued in MO
Practice address
543 W Hubble Dr
Marshfield, MO 65706-1532
Phone
(417) 859-4878
Fax
(417) 859-0889
NPI assigned
Jun 15, 2005
Last updated
Jan 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X R3D17 MO Primary

Addresses

Primary practice location

543 W Hubble Dr
Marshfield, MO 65706-1532

Mailing address

543 W Hubble Dr
Marshfield, MO 65706-1532
Phone (417) 859-4878

Other identifiers 2

IdentifierTypeStateIssuer
P00003783OtherRR MEDICARE
241849058MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031206000097 MO Practitioner - Family Practice 2567367022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R3D17MOMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Webster County Nursing Home District Past Accepting new patients
Wellpointe Family Medical Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Mercy Clinic Springfield Communities Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1245235498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 W HUBBLE DR",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657061532",
            "telephone_number": "417-859-4878",
            "fax_number": "417-859-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 W HUBBLE DR",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657061532",
            "telephone_number": "417-859-4878",
            "fax_number": "417-859-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKINDINE",
        "first_name": "DONALD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "R3D17",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00003783",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241849058",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, MO

Sources for this page

Verify at the official NPI Registry.