Burton Creek Weight Loss Solutions, LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

BURTON CREEK WEIGHT LOSS SOLUTIONS, LLC

Doing business as

DBA Burton Creek Medical Clinic

Practice address

709 N Kentucky Ave
West Plains, MO 65775-2085

Phone

(417) 256-2111

Fax

(417) 256-4858

NPI assigned

Dec 28, 2010

Last updated

Sep 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sonja Lea Stauffer, MS

Title

Administrator

Phone

(417) 256-2111

Specialties & licenses 2

Addresses

Other names 1

• DBA Burton Creek Medical Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Allen Martin, MD

  • Family Medicine Physician
  • West Plains, MO
  • NPI 1841297181
  NPD (past)

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1730483140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N KENTUCKY AVE",
            "address_2": "SUITE 3",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752022",
            "telephone_number": "417-256-2111",
            "fax_number": "417-256-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752085",
            "telephone_number": "417-256-2111",
            "fax_number": "417-256-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURTON CREEK WEIGHT LOSS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "STAUFFER",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-256-2111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Burton Creek Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Burleson
• Belynda Dawn Burroughs
• Derrick Shane Burtchett
• Burton Creek Rural Clinic, LLC
• Burton Creek Rural Clinic, LLC
• Ashley Burton
• Brian Burton
• Aaron Butler, COTA
• Lindsey Nicole Butz, DPT
• Paul Byrum

• Rheumatology Physician in West Plains, MO
• Providers in West Plains, MO by specialty
• Rheumatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.