NPIMap

Individual provider Active NPI

Larry Leon Burns Jr., PA - C

  • Physician Assistant
  • Hugo, OK
National Provider Identifier
1871096958
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1201 E Jackson St
Hugo, OK 74743-4229
Phone
(580) 326-6423
Fax
(580) 317-9233
NPI assigned
Mar 14, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1201 E Jackson St
Hugo, OK 74743-4229

Mailing address

1201 E Jackson St
Hugo, OK 74743-4229
Phone (580) 326-6423

Other practice location 1

1668 W Liberty Rd
Atoka, OK 74525-1703
Phone (580) 364-0227

Other practice location 2

603 NE 2nd St
Antlers, OK 74523-2636
Phone (580) 298-3351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180822002069 OK Practitioner - Physician Assistant 7618226945 Reassigns benefits to 3 organizations
I20210712000338 TX Practitioner - Physician Assistant 7618226945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
Rowland Flatt Hugo Rural Health ClinicGroup PAC ID 2466486329, 7 clinicians
Rowland Flatt ClinicGroup PAC ID 9830186824, 11 clinicians

Practice addresses (Care Compare)

1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391

109 Kerr Blvd
Poteau, OK 74953-5231
Phone (539) 316-6391

1127 S George Nigh Expy
Choctaw Nation Health Care McAlester
McAlester, OK 74501-7143
Phone (539) 316-6391

1201 E Jackson St
Hugo, OK 74743-4229

1801 Chukka Hina
Durant, OK 74701-7117
Phone (539) 316-6391

2204 E Main STR
Choctaw Nation Health Care Stigler
Stigler, OK 74462-2822
Phone (539) 316-6391

603 NE 2ND St
Antlers, OK 74523-2636
Phone (580) 298-3351

One Choctaw Way
Talihina, OK 74571-2022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.07 of 100Reported as group
Quality
73.06
Improvement activities
40
Cost
69.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince May 28, 2021 Accepting new patients
Cherokee Nation CurrentSince May 28, 2021 Accepting new patients
Caring Hands Healthcare Centers Inc Physician Assistant CurrentSince Nov 1, 2020 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince May 15, 2023 Accepting new patients
Caring Hands Healthcare Centers Inc CurrentSince Nov 1, 2020 Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

3101 Elk Dr
McAlester, OK 74501
Phone (918) 426-2442

727 E Wyandotte Ave
McAlester, OK 74501
Phone (918) 421-6960

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

Interoperability endpoints

  • Direct secure messaging: lburns19822@choctawnation.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871096958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434229",
            "telephone_number": "580-326-6423",
            "fax_number": "580-317-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434229",
            "telephone_number": "580-326-6423",
            "fax_number": "580-317-9233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1668 W Liberty Rd",
            "address_purpose": "LOCATION",
            "city": "Atoka",
            "state": "OK",
            "postal_code": "745251703",
            "country_code": "US",
            "telephone_number": "580-364-0227",
            "fax_number": "580-317-9233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 NE 2nd St",
            "address_purpose": "LOCATION",
            "city": "Antlers",
            "state": "OK",
            "postal_code": "745232636",
            "country_code": "US",
            "telephone_number": "580-298-3351",
            "fax_number": "580-317-9233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "LARRY",
        "middle_name": "LEON",
        "name_suffix": "Jr.",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hugo, OK

Sources for this page

Verify at the official NPI Registry.