Active NPI
Katherine Anne Burris, PA
- Medical Physician Assistant
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 50003023
- Practice address
- 4160 Little York Rd
Suite 10
Dayton, OH 45414-5800 - Phone
- (937) 415-9100
- Fax
- (937) 415-9195
- NPI assigned
- Jan 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50003023 | OH | Primary |
Addresses
Primary practice location
4160 Little York Rd
Suite 10
Dayton, OH 45414-5800
Mailing address
PO Box 713130
Cincinnati, OH 45271-0001
Phone (937) 415-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1002 Rainbow CT
Fairborn, OH 45324-6365
Phone (800) 824-9861
4160 Little York Rd
Suite 10
Dayton, OH 45414-5803
Phone (937) 415-9100
7677 Yankee St
Suite 110
Centerville, OH 45459-3475
Phone (937) 428-0400
Hospital & facility affiliations
- Kettering Health Dayton
- Kettering Health Main Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.43 of 100
- Quality
- 70.97
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50003023 | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Associates of SW Ohio, Inc | Current | Accepting new patients |
Locations
7677 Yankee St
Ste 110
Dayton, OH 45459
Phone (937) 401-6400
4160 Little York Rd
Ste 10
Dayton, OH 45414
Phone 9374159100335
300 3rd Ave
Sidney, OH 45365
Phone (937) 710-4786
Interoperability endpoints
- katherine.burris@oaswo.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Dayton, OH
- NPI 1447422118
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1831429430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713130",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452710001",
"telephone_number": "937-415-9100",
"fax_number": "937-415-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 LITTLE YORK RD",
"address_2": "SUITE 10",
"city": "DAYTON",
"state": "OH",
"postal_code": "454145800",
"telephone_number": "937-415-9100",
"fax_number": "937-415-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRIS",
"first_name": "KATHERINE",
"middle_name": "ANNE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-04",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50003023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.