Russell K Burton, MD
Individual provider Active NPI Anesthesiology Physician · Columbia, MO
NPI 1992756407 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1992756407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MD105875 (MO)
- Practice address
- One Hospital Dr
Columbia, MO 65212-0001 - Phone
- (573) 882-2568
- Fax
- (573) 882-2226
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
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 |
|---|---|---|---|
| MD105875 | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Anesthesia Consultants, Inc. | Anesthesiology | Past | Accepting new patients |
| Anesthesia Health Care Partners of Florida Inc | Anesthesiology | Past | Accepting new patients |
| Anesthesia Associates of Jefferson County | Anesthesiology | Past | Accepting new patients |
| Midwest Anesthesia Inc. | Anesthesiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD105875 | MO | Yes |
Addresses
Primary practice location
One Hospital Dr
Columbia, MO 65212-0001
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208858530 | Medicaid | MO | |
| 21183 | Other | MO | CDS |
Other providers in Columbia, MO
- Ashlea Nicole Burry
- Burton and Hutchens LLC
- Eric Burton
- Glenna Christine Burton
- Jacob Burton
- Melissa Dawn Burwell
- Melissa Ashley Busch
- Dana L. Busche-Goodson
- Margaret Bushnell
- Vicki Louise Buss
All providers in Columbia, MO · Anesthesiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. 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.