MEDICARE: LINDA MARIE BURSTYNOWICZ 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
1	208000000X	Pediatrics Physician	071890L	PA
2	207R00000X	Internal Medicine Physician	071890L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	0110237825	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	P001930	OTHER	PA	GATEWAY
5	900236	OTHER	PA	HIGHMARK
6	131194	OTHER	PA	HEALTH AMERICA
7	215965	OTHER	PA	UPMC
8	112333	OTHER	PA	MEDPLUS

General Provider Information

NPI Number	:	1508866658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA MARIE BURSTYNOWICZ M.D.

Provider Business Mailing Address
First Line	:	500 W BERKELEY ST
Second Line	:
City	:	UNIONTOWN
State	:	PA
Zip	:	15401-5514
Country	:	US
Telephone Number	:	724-430-6555
Fax Number	:	724-430-6976

Provider Business Practice Location Address
First Line	:	111B ROBERTS RD
Second Line	:
City	:	GRINDSTONE
State	:	PA
Zip	:	15442-1105
Country	:	US
Telephone Number	:	724-785-2286
Fax Number	:	724-785-3187

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	09/14/2022

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Directions to “ LINDA MARIE BURSTYNOWICZ M.D.” Practice Location

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