Organization Active NPI

Richard J. Burns, D.O., P.C.

  • Obstetrics & Gynecology Physician
  • Scranton, PA
National Provider Identifier
1811199474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS-008562-L Issued in PA
Legal business name
RICHARD J. BURNS, D.O., P.C.
Practice address
321 Spruce St
Suite 609
Scranton, PA 18503-1400
Phone
(570) 961-3700
Fax
(570) 343-6088
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard John Burns, D.O
Title
President
Phone
(570) 961-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X OS-008562-L PA Primary

Addresses

Primary practice location

321 Spruce St
Suite 609
Scranton, PA 18503-1400

Mailing address

321 Spruce St
Suite 609
Scranton, PA 18503-1400
Phone (570) 961-3700

Other identifiers 1

IdentifierTypeStateIssuer
0017112680006MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080827000389 PA Part B Supplier - Clinic/Group Practice 5294801213 Practice locations: Scranton, PA

National Provider Directory

National Provider Directory

Locations

207 Wyoming Ave
Ste 609
Scranton, PA 18503

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811199474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SPRUCE ST",
            "address_2": "SUITE 609",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031400",
            "telephone_number": "570-961-3700",
            "fax_number": "570-343-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SPRUCE ST",
            "address_2": "SUITE 609",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031400",
            "telephone_number": "570-961-3700",
            "fax_number": "570-343-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. BURNS, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-961-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS-008562-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017112680006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.