Elizabeth A. Burns, M.D.
Individual provider Active NPI Family Medicine Physician · Grand Forks, ND
NPI 1811956154 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811956154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9265 (ND)
- Practice address
- 2ND Ave. N.
100 McCannel Hall,
Grand Forks, ND 58202-9038 - Phone
- (701) 777-4500
- Fax
- (701) 777-4835
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Past | Accepting new patients | |
| Michigan State University Kalamazoo Center for Medical Studies | Past |
Accepting new patients | |
| University of North Dakota | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9265 | ND | Yes |
Addresses
Primary practice location
2ND Ave. N.
100 McCannel Hall,
Grand Forks, ND 58202-9038
Mailing address
McCannel Hall, Room 100
2891 2ND Avenue North, Stop 9038
Grand Forks, ND 58202-9038
Phone (701) 777-4500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12221 | Medicaid | ND |
Other providers in Grand Forks, ND
- McKenzie Burke
- Alexandrer Burlachko
- Andrew Burnett
- Christina Marie Burns
- Darlene Burns
- Amanda Joy Burris
- Emily Bush
- Joyce Elizabeth Bushaw
- Rachel Leeann Busko
- Kassidy Danae Bustamante
All providers in Grand Forks, ND · Family Medicine Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.