DR. MICHAEL TODD BURTIS (NPI# 1396765335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396765335 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL TODD BURTIS |
| Credential | M.D. |
| Practice Address |
531 4th Ave Lewiston ID 83501-2450 |
| Practice Telephone | 2087434393 |
| Mailing Telephone | 2087434393 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2016-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M13009 | ID | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD 13873 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
531 4TH AVE |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464493 | Gregory Robert Spurling | Radiology | 531 4th Ave, Lewiston, ID 83501-2450 | 2005-08-11 |
| 1972751709 | Luke Jonathan Grauke | Radiology | 531 4th Ave, Lewiston, ID 83501-2450 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464493 | Gregory Robert Spurling | Radiology | 531 4th Ave, Lewiston, ID 83501-2450 | 2005-08-11 |
| 1528066214 | Brian Block | Radiology | 5300 Military Rd, Xray Dept, Lewiston, NY 14092-1903 | 2005-07-07 |
| 1972751709 | Luke Jonathan Grauke | Radiology | 531 4th Ave, Lewiston, ID 83501-2450 | 2008-09-04 |
| 1164682324 | Matthew D Recker | Radiology | 93 Campus Ave, Lewiston, ME 04240 | 2008-06-11 |
| 1073785580 | Jeremy B Duda | Radiology | 300 Main St, Lewiston, ME 04240-7027 | 2008-03-25 |
| 1871784611 | Jon P Pitman | Radiology | 632 Main St, Lewiston, ME 04240-5935 | 2007-08-07 |
| 1609071760 | Michael E Bell | Radiology | 415 6th St, Lewiston, ID 83501-2431 | 2007-06-19 |
| 1104998905 | James N Place | Radiology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2006-11-15 |
| 1093892218 | Gregory S Friedel | Radiology | 300 Main St, Dept of Radiology, Lewiston, ME 04240-7027 | 2006-11-01 |
| 1750465514 | Paul J Sanchirico | Radiology | 415 6th St, Lewiston, ID 83501-2431 | 2006-10-25 |
| Find all providers in LEWISTON | ||||
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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.