Individual provider Active NPI

Scott Alan Burlison, MD

  • Pain Medicine Physician
  • Tyler, TX
National Provider Identifier
1932303534
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
M7884 Issued in TX
Practice address
3414 Golden Rd
Tyler, TX 75701-8336
Phone
(903) 939-7500
Fax
(903) 939-7723
NPI assigned
Jun 14, 2007
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M7884 TX
Pain Medicine Physician 208VP0000X M7884 TX Primary

Addresses

Primary practice location

3414 Golden Rd
Tyler, TX 75701-8336

Mailing address

3414 Golden Rd
Tyler, TX 75701-8336
Phone (903) 939-7500

Other practice location 1

1123 S Palestine St Ste 100
Athens, TX 75751-3645
Phone (903) 939-7500

Other practice location 2

2701 US Highway 271 N
Pittsburg, TX 75686-4289
Phone (903) 939-7500

Other practice location 3

305 W 20th St
MT Pleasant, TX 75455-2327
Phone (903) 939-7500

Other identifiers 4

IdentifierTypeStateIssuer
1953411601MedicaidTX
8U8518OtherTXBCBS OF TEXAS
195341602MedicaidTX
TIN PLUS 042OtherTXTRICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080806000460 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 6608940895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

3414 Golden Rd
Tyler, TX 75701-8336
Phone (903) 939-7500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Christus Trinity Clinic Texas Anesthesiology CurrentSince Jul 15, 2008 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 15, 2008 Accepting new patients
Ortholonestar, PLLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

1123 S Palestine St
Ste 100
Athens, TX 75751
Phone (903) 675-5300

1123 S Palestine St
Ste 300
Athens, TX 75751
Phone (903) 937-7500

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034
Phone (214) 220-2522

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

305 W 20th St
Mt Pleasant, TX 75455
Phone (903) 572-2222

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

1327 Troup Hwy
Tyler, TX 75701
Phone (903) 510-8764

3414 Golden Rd
Tyler, TX 75701
Phone (903) 590-3050

Organizations & group practices 4

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 7

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1932303534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 GOLDEN RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018336",
            "telephone_number": "903-939-7500",
            "fax_number": "903-939-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 GOLDEN RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018336",
            "telephone_number": "903-939-7500",
            "fax_number": "903-939-7723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1123 S Palestine St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757513645",
            "country_code": "US",
            "telephone_number": "903-939-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 US Highway 271 N",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "TX",
            "postal_code": "756864289",
            "country_code": "US",
            "telephone_number": "903-939-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 W 20th St",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "TX",
            "postal_code": "754552327",
            "country_code": "US",
            "telephone_number": "903-939-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURLISON",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M7884",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "M7884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1953411601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8U8518",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195341602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "TIN PLUS 042",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.