MARK BURNS, MD PC (NPI# 1447688825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447688825 |
| Entity Type | Organization |
| Organization Name | MARK BURNS, MD PC |
| Practice Address |
11124 W California Ave Ste G Youngtown AZ 85363-1246 |
| Practice Telephone | 6235832073 |
| Practice Fax Number | 6235831099 |
| Mailing Telephone | 6235832073 |
| Mailing Fax Number | 6235831099 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |
| Authorized Official Name | MARK BURNS (PROVIDER) |
| Authorized Official Telephone | 6235832073 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
29591 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 621674 | 05 |
| Street Address |
11124 W CALIFORNIA AVE STE G |
| City | YOUNGTOWN |
| State | AZ |
| Zip Code | 85363-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982954996 | Atlantis Medical Specialist Az, Pllc | Family Medicine | 11124 W California Ave Ste G, Youngtown, AZ 85363-1246 | 2012-09-17 |
| 1205175551 | Atlantis Global Research Institute, Pllc. | Specialist | 11124 W California Ave Ste G, Youngtown, AZ 85363-1246 | 2013-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495387 | Sage Counseling, Inc. | Community/Behavioral Health | 12600 N. 113th Ave., Building B, Suite 6, Phoenix, AZ 85363 | 2018-01-17 |
| 1770026361 | Lifestream Complete Senior Living, Inc. | Skilled Nursing Facility | 11521 W. Peoria Avenue, Youngtown, AZ 85363 | 2016-11-30 |
| 1760925358 | Lifestream Complete Senior Living, Inc. | Skilled Nursing Facility | 11523 W. Peoria Avenue, Youngtown, AZ 85363 | 2016-11-30 |
| 1043753635 | Lifestream Complete Senior Living, Inc. | Skilled Nursing Facility | 11527 W. Peoria Avenue, Suite 500, Youngtown, AZ 85363 | 2016-11-30 |
| 1992257539 | Allen Michael Moore | Pharmacist | 10727 W. Olive Ave., Youngtown, AZ 85363 | 2016-10-31 |
| 1295010007 | Laura Nichols | Dentist | 11132 California Ave, Youngtown, AZ 85363 | 2011-10-13 |
| 1154541324 | Phoenix Senior Living LLC | Alzheimer Center (Dementia Center) | 12322 N 13th Avenue, Youngtown, AZ 85363 | 2007-04-27 |
| 1265509319 | John E Cooper II | Dentist | 11126 West Wisconsin Avenue, Suite 1, Youngtown, AZ 85363 | 2006-11-30 |
| 1194783886 | Mark Paul Yates | Dentist | 11100 W Michigan Ave, Youngtown, AZ 85363 | 2006-05-02 |
| 1447646146 | Rajkumar Sugumaran Md Pllc | Internal Medicine | 11124 W California Ave, # G, Youngtown, AZ 85363 | 2015-04-09 |
| Find all providers in zip 85363 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891932760 | Vishal Patel Mdpc | Internal Medicine | 11124 W California Ave, Youngtown, AZ 85363-1246 | 2009-01-14 |
| 1447646146 | Rajkumar Sugumaran Md Pllc | Internal Medicine | 11124 W California Ave, # G, Youngtown, AZ 85363 | 2015-04-09 |
| 1598195190 | Sandoval Consulting Pllc | Internal Medicine | 11124 W California Ave, Suite G, Youngtown, AZ 85363-1246 | 2013-11-18 |
| 1740427616 | Manoj Rawal, Pllc | Internal Medicine | 11124 W California Ave, Youngtown, AZ 85363-1246 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673092 | Cai Ncp East Mesa Jv LLC | Internal Medicine | 10238 E Hampton Ave Ste 201, Mesa, AZ 85209-3318 | 2020-09-11 |
| 1073131561 | Ponderosa Heart House Call | Internal Medicine | 115 S Alto St Ste 3, Prescott, AZ 86303-3603 | 2020-07-10 |
| 1710504667 | Honorhealth Ambulatory | Internal Medicine | 20201 N Scottsdale Healthcare Dr Ste 200, Scottsdale, AZ 85255-4137 | 2020-06-26 |
| 1174149132 | Honorhealth Ambulatory | Internal Medicine | 9250 W Thomas Rd Ste 300, Phoenix, AZ 85037-3384 | 2020-06-24 |
| 1427523471 | Dr. David Wilcoxson and Associates, LLC | Internal Medicine | 6641 E Baywood Ave Ste B3, Mesa, AZ 85206-1723 | 2018-10-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1245733716 | Argento Medical Group LLC | Internal Medicine | 8410 W Thomas Rd Ste 120, Phoenix, AZ 85037-3356 | 2018-03-12 |
| 1508235730 | Joseph Parraz | Internal Medicine | 14340 S Durango Rd # 4, Arizona City, AZ 85123-8719 | 2015-09-17 |
| 1265809628 | Scottsdale Heart & Vascular Associates LLC | Internal Medicine | 4040 E Larkspur Dr, Phoenix, AZ 85032-7420 | 2015-09-01 |
| 1326438276 | Healthfinity, Pllc | Internal Medicine | 6316 W Union Hills Dr Ste 210, Glendale, AZ 85308-1001 | 2015-01-30 |
| Find all providers with the same taxonomy | ||||
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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.