RICHARD WAYNE BURT (NPI# 1558687822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558687822 |
| Entity Type | Individual |
| Full Name | RICHARD WAYNE BURT |
| Credential | PA-C |
| Practice Address |
1501 N Campbell Ave Tucson AZ 85724-0001 |
| Mailing Address |
2019 N Wild Hyacinth Dr Tucson AZ 85715-5915 |
| Practice Telephone | 5206940111 |
| Mailing Telephone | 5206091680 |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
4602 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265651210 | Richard E Burt | Dentist | 71 Richardson Heights Village, Richardson, TX 75080-6316 | 2007-04-25 |
| 1881791457 | Richard A Burt | Urology | Kaiser Permanente Sunnybrook Medical Office, 9900 Se Sunnyside Rd, Clackamas, OR 97015 | 2006-09-17 |
| 1700894771 | Richard Russell Burt | Dentist | 310 W Idaho St, Blackfoot, ID 83221-0248 | 2006-08-04 |
| 1225090319 | Richard Burt | Internal Medicine | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-04-04 |
| Street Address |
1501 N CAMPBELL AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85724-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631481 | Rebecca Adele Millius | Family Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-5085 | 2005-07-01 |
| 1730707373 | Ilaria Vittoria De Martini | Radiology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-07-09 |
| 1427671239 | Rinku Skaria | Student in an Organized Health Care Education/Training Program | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-27 |
| 1801419452 | Kevin Joseph Moynahan | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-18 |
| 1912529710 | Jared Holley | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-14 |
| 1558983502 | Jon Hyrum Neilson II | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-13 |
| 1588286819 | Alexander Michael Mckitrick | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-08 |
| 1003437575 | Ashley Azizi Assadi | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-06 |
| 1003437872 | Mohammed Abbas | Orthopaedic Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-02 |
| 1578184420 | Savannah Nicole Davis | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
| 1881183143 | Bradley Bohman | Internal Medicine | 1501 N. Campbell Ave, Room 6336, Tucson, AZ 85724 | 2018-05-02 |
| 1255780789 | Elly Varma | Internal Medicine | 1501 N Campbell Avenue Com Room 6336, Department of Medicine, Tuscon, AZ 85724 | 2016-06-06 |
| 1295183234 | Elise Vo | Internal Medicine | 1501 N. Campbell- Room 6336, Tucson, AZ 85724 | 2016-06-01 |
| 1730575101 | Colin A. West | Emergency Medicine | Banner University Medical Center Tucson, 1501 N. Campbell Ave., Tucson, AZ 85724 | 2015-04-12 |
| 1023403623 | Laura Elizabeth Bach | Internal Medicine | 1501 N Campbell Ave Rm 6402, Tucson, AZ 85724 | 2015-03-31 |
| 1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
| 1447678016 | Kimberly Schmelzle Winsor | Student in an Organized Health Care Education/Training Program | 1501 N, Campbell Ave., Tucson, AZ 85724 | 2014-04-01 |
| 1710299276 | Jeffrey M Rice | Neurological Surgery | 1501 North Campbell Avenue, University of Arizona, Tucson, AZ 85724 | 2010-07-12 |
| 1558698464 | University of Arizona | General Acute Care Hospital | U of A Health Sciences Center - Umc Pediatrics, Campbell Ave, Tucson, AZ 85724 | 2009-11-13 |
| Find all providers in zip 85724 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366955155 | Jennifer R Osborne | Physician Assistant | 100 S Eastern Dawn Ave, Tucson, AZ 85748-1708 | 2017-11-15 |
| 1669985198 | Jacki Nichols | Physician Assistant | 5055 N Rock Canyon Rd, Tucson, AZ 85750-6003 | 2017-11-06 |
| 1982084562 | Cj Surgical Assisting | Physician Assistant | 9420 E. Golf Links Rd., Ste 108 #138, Tucson, AZ 85730-1317 | 2015-06-09 |
| 1073901492 | Claudia Y Coello-rasoumoff | Physician Assistant | 2803 E 5th St, Tucson, AZ 85716-4433 | 2015-01-07 |
| 1902211600 | David Ybarbo Flores | Physician Assistant | 7853 N Kristin Pl, Tucson, AZ 85741-3926 | 2014-06-22 |
| 1417369729 | Caitlin Marie Harper | Physician Assistant | 9685 E Paseo San Ardo, Tucson, AZ 85747 | 2014-05-21 |
| 1205257359 | Carolyn Jones | Physician Assistant | 5963 E Franklin Tale Dr, Tucson, AZ 85756-8653 | 2013-12-16 |
| 1376886135 | Diane M Williams | Physician Assistant | 6336 N Oracle Rd # 326245, Tucson, AZ 85704-5480 | 2013-03-30 |
| 1740524123 | April Hanna, Pa-c Pllc | Physician Assistant | 12121 E Barbary Coast Rd, Tucson, AZ 85749-8443 | 2012-11-25 |
| 1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
| Find all providers in TUCSON | ||||
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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.