Individual provider Active NPI

Rusty Scott Burns, PA-C

  • Physician Assistant
  • Taylorsville, UT
National Provider Identifier
1386014116
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9540934-1206 Issued in UT
Practice address
4745 South 3200 West
Oquirrh View Clinic
Taylorsville, UT 84129
Phone
(801) 910-8641
NPI assigned
Oct 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9540934-1206 UT Primary

Addresses

Primary practice location

4745 South 3200 West
Oquirrh View Clinic
Taylorsville, UT 84129

Mailing address

1560 W Vivante Way
West Valley City, UT 84119-8202
Phone (801) 910-8641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20180227002813 UT Practitioner - Physician Assistant 4688960933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers IncGroup PAC ID 5991698169, 39 clinicians

Practice addresses (Care Compare)

1365 W 1000
Salt Lake City, UT 84116-1654
Phone (801) 328-5750

4745 S 3200
Taylorsville, UT 84129-2822
Phone (801) 964-6214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9540934-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc. Family Medicine CurrentSince Jan 24, 2018 Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Jan 24, 2018 Accepting new patients
Community Health Centers, Inc. Family Medicine Past Accepting new patients

Locations

980 S 500 W
Ste 1
Brigham City, UT 84302
Phone (435) 723-6191

220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494

1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750

1388 S Navajo St
Slc, UT 84104
Phone (801) 955-2360

4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214

440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441

2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614

4535 S 5600 W
West Valley City, UT 84120
Phone (801) 676-4405

1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986

Interoperability endpoints

  • Direct secure messaging: rusty.burns@chcsl.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1386014116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 W VIVANTE WAY",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841198202",
            "telephone_number": "801-910-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 SOUTH 3200 WEST",
            "address_2": "OQUIRRH VIEW CLINIC",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "84129",
            "telephone_number": "801-910-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "RUSTY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "9540934-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.