Allan Scott Burnside, M.D.
Individual provider Active NPI Family Medicine Physician · Dolores, CO
NPI 1942280573 · NPPES record last updated Jul 13, 2010
Key facts
- NPI
- 1942280573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 32885 (CO)
- Practice address
- 507 Central Ave
Dolores, CO 81323 - Phone
- (970) 882-7221
- Fax
- (970) 882-7221
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32885 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dolores Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32885 | CO | Yes |
Addresses
Primary practice location
507 Central Ave
Dolores, CO 81323
Mailing address
PO Box 908
Dolores, CO 81323-0908
Phone (970) 882-7221
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12635871 | Other | CO | RURAL HEALTH CLINIC |
| 5502AMGR004393 | Other | CO | ANTHEM |
| 01328855 | Medicaid | CO | |
| 080053393 | Other | CO | RAILROAD MEDICARE |
Other providers in Dolores, CO
- Rakhat Ashymov
- Aspire Higher, Inc.
- Breitenbach Chiropractic PLLC
- Eric Joseph Breitenbach
- William Glenn Breitenbach
- Marilyn Cieszykowski
- Clancey Comisky
- Jordan Ami Dalton
- Dolores Medical Center
- Dolores Medical Center PC
All providers in Dolores, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2010. 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.