DR. BENJAMIN SCOTT BURRIS (NPI# 1275876609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275876609 |
Entity Type | Individual |
Full Name | DR. BENJAMIN SCOTT BURRIS |
Credential | M.D. |
Practice Address |
11937 Us Highway 271 Tyler TX 75708-3154 |
Practice Telephone | 9038777777 |
Mailing Telephone | 9038777777 |
Enumeration Date | 2013-04-04 |
Last Update Date | 2014-07-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
BP10048814 | TX | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942302294 | Benjamin Gray Burris | Dentist | 837 Good Homes Road, Orlando, FL 32818 | 2006-09-05 |
Street Address |
11937 US HIGHWAY 271 |
City | TYLER |
State | TX |
Zip Code | 75708-3154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245233550 | Frances L. Elizondo | Physician Assistant | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-05-31 |
1497355481 | Jessie Ann Gibson | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-28 |
1538767397 | Ian Joseph Gomez | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-14 |
1588262562 | Jamie R Antwine | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-13 |
1679171797 | Christian Paul Fant | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-12 |
1912512468 | Halle Ross-young | Psychologist | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-09-11 |
1093328700 | Joshua Morgan | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-08-24 |
1811509011 | Kavya Parasa | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-08-19 |
1326657792 | Pelin D Strebler | Clinical Neuropsychologist | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-07-30 |
1508483082 | Chi Nguyen Benson | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-06-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427615699 | Aiat Radwan | Student in an Organized Health Care Education/Training Program | 11937 U Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-23 |
1174170781 | Sanmitha Sundaram Kota | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-08-20 |
1952960437 | Parashar Trivedi | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-10 |
1659937506 | Sandhya Devaraj | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-16 |
1972169381 | Mary Kaar | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
1396301701 | Joshua Penrod | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
1558927962 | Ijeoma Nwaigwe | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
1487210894 | David Pollard | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
1477119873 | Aparna Kanuparthy | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
1275199689 | Prithvi Muddana | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
Find all providers in zip 75708 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821119397 | Carl David Rowlett | Preventive Medicine | 11937 U.S. Hwy 271, Ut Health Sciences Center At Tyler, Tyler, TX 75708-3154 | 2007-04-03 |
1306986450 | Barbara M Pinson | Preventive Medicine | 11721 U S Highway 69 North, Tyler, TX 75706 | 2007-02-07 |
1821071846 | William J. Swartworth | Preventive Medicine | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2005-11-23 |
1346239464 | Jeffrey Levin | Preventive Medicine | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790332955 | Healthstat Onsite Clinic Goodyear Beaumont | Preventive Medicine | 11357 Ih 10, Sw @ Smith Road, Beaumont, TX 77720 | 2019-08-22 |
1871051763 | Thomas Pace | Preventive Medicine | 808 Glenmont Rd, Keller, TX 76248-0377 | 2019-03-09 |
1033690250 | Nicole Eileen Finkelstein | Preventive Medicine | 6009 Seville Dr, Austin, TX 78724-6127 | 2018-08-25 |
1104368430 | David E Turner | Preventive Medicine | 6218 Holly Oaks Ct, Fulshear, TX 77441-1134 | 2016-11-17 |
1700268950 | Healthstat Onsite Clinic Mvm Cuero | Preventive Medicine | 202 N Gazzie St, Cuero, TX 77954-3730 | 2015-06-24 |
1801276142 | Dr Suzanne Schafer Pllc | Preventive Medicine | 2392 Calypso Ln, League City, TX 77573-2795 | 2015-06-02 |
1750777140 | Healthstat Onsite Clinic Hsm Arlington Tx | Preventive Medicine | 605 109th St, Suite 300, Arlington, TX 76011-7601 | 2015-04-13 |
1871837476 | John Patrick Gibbs | Preventive Medicine | 300 Fischer Store Rd, Wimberley, TX 78676-6425 | 2012-11-20 |
1821332776 | Hanlin Liu | Preventive Medicine | 5000 Bayway Dr, Baytown, TX 77520-2123 | 2012-11-15 |
1912272477 | John George Mueller | Preventive Medicine | 60 Crown Pl, Richardson, TX 75080-1603 | 2012-03-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.