Active NPI
Patricia Gayle Burns, MD
- Pediatrics Physician
- Stilwell, OK
National Provider Identifier
1497744486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18978
- Practice address
- 1401 W Locust St
Stilwell, OK 74960-3275 - Phone
- (918) 696-4065
- Fax
- (918) 696-3461
- NPI assigned
- Oct 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 18978 | OK | Primary |
Addresses
Primary practice location
1401 W Locust St
Stilwell, OK 74960-3275
Mailing address
1401 W Locust
Stilwell, OK 74960
Phone (918) 696-4065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100253280B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1497744486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W LOCUST",
"city": "STILWELL",
"state": "OK",
"postal_code": "74960",
"telephone_number": "918-696-4065",
"fax_number": "918-696-3461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W LOCUST ST",
"city": "STILWELL",
"state": "OK",
"postal_code": "749603275",
"telephone_number": "918-696-4065",
"fax_number": "918-696-3461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "PATRICIA",
"middle_name": "GAYLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "18978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100253280B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stilwell, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.