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NPI Code Detail

MEDICARE: JOHN THOMAS BURNS M.D.

MEDICARE: JOHN THOMAS BURNS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianMD044723LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CG0139OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184621260
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN THOMAS BURNS M.D.
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-6144
Fax Number : 570-271-6578
Provider Business Practice Location Address
First Line : 10 CHOATE CIR
Second Line :
City : MONTOURSVILLE
State : PA
Zip : 17754-9791
Country : US
Telephone Number : 570-368-5566
Fax Number : 570-368-5564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 08/17/2020

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