Roy G Burt, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

1376 Issued in SD

Practice address

3015 3Rd Ave SE
Ste 100
Aberdeen, SD 57401-5418

Phone

(605) 725-1700

Fax

(605) 725-1708

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1295801520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585",
            "fax_number": "605-328-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 3RD AVE SE",
            "address_2": "STE 100",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015418",
            "telephone_number": "605-725-1700",
            "fax_number": "605-725-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "ROY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SD",
            "license": "1376",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SD",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "1376",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600040",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Burckhard
• Paiton Burckhard
• Linda Kay Burdette, CNP
• Jennifer Burkett, SPECIALIST
• Joseph Burns, A.T.C., M.S.ED,
• Quentin Clifford Bury, RPH
• C-Loona Inc
• Cameron Eichler Enterprises
• Theresa A Cameron, PA-C
• Colleen Lorraine Campbell-Lane, PHD, LCSW, ACHP-SW

• Anatomic Pathology & Clinical Pathology Physician in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Anatomic Pathology & Clinical Pathology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.