Individual provider Active NPI

Glenna Christine Burton, M.D.

  • Psychiatry Physician
  • Columbia, MO
National Provider Identifier
1336174283
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
8507 Issued in MO
Practice address
601 Business Loop 70 W
Suite 221
Columbia, MO 65203-2546
Phone
(573) 442-2502
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 8507 MO Primary

Addresses

Primary practice location

601 Business Loop 70 W
Suite 221
Columbia, MO 65203-2546

Mailing address

2004 S Deerborn Cir
Columbia, MO 65203-1984
Phone (573) 445-3850

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
I20040402000190 MO Practitioner - Psychiatry 5799777215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Missouri, Kansas City, School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oak Hills Behavioral Health SolutionsGroup PAC ID 5597192823, 6 clinicians

Practice addresses (Care Compare)

1513 Union Ave
Suite 2500
Moberly, MO 65270-9412
Phone (660) 372-1313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8507MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel O Fadare, MD, PA Psychiatry CurrentSince Sep 1, 2022 Accepting new patients

Locations

1513 Union Ave
Ste 2500
Moberly, MO 65270
Phone (660) 372-1313

Organizations & group practices 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336174283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 S DEERBORN CIR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031984",
            "telephone_number": "573-445-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BUSINESS LOOP 70 W",
            "address_2": "SUITE 221",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032546",
            "telephone_number": "573-442-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "GLENNA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "8507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.