Larry R Burris (NPI# 1578519922, PAC ID# 9335039072) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1578519922 |
| PAC ID by PECOS | 9335039072 |
| Professional Enrollment ID | I20040317000756 |
| Full Name | Larry R Burris |
| Organization Legal Name | SANFORD CLINIC |
| Address |
107 1st St E Canby MN 56220-1342 |
| Phone Number | 5072237221 |
| Gender | M |
| Credential | DO |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1993 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | INTERNAL MEDICINE, NEPHROLOGY |
| Group Practice PAC ID | 0244143824 |
| Number of Group Practice Members | 345 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430027 | SANFORD USD MEDICAL CENTER |
| 240022 | SANFORD MEDICAL CENTER WORTHINGTON |
| 161381 | SANFORD SHELDON MEDICAL CENTER |
| 430016 | AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER |
| 280125 | FAITH REGIONAL HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 107 1st St E, Canby, MN 56220-1342 | 5072237221 | SANFORD CLINIC |
| 1305 W 18th St, Child Spec Clin, Minnehaha, SD 57105-0401 | 6053313130 | SANFORD CLINIC |
| 1200 S Euclid Ave, 104 Fam Med Snfrd Mb1, Sioux Falls, SD 57105-0430 | 6053287595 | SANFORD CLINIC |
| 1205 S Grange Ave, Sioux Falls, SD 57105-0414 | SANFORD CLINIC | |
| 1301 W 18th St, Sioux Falls, SD 57105-0401 | SANFORD CLINIC | |
| 1305 W 18 St, Sioux Falls, SD 57105-0401 | SANFORD CLINIC | |
| 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 | 6053331720 | SANFORD CLINIC |
| 1600 W 22nd St, Children's Spec Clin, Sioux Falls, SD 57105-1521 | 6053121000 | SANFORD CLINIC |
| Organization Legal Name | SANFORD CLINIC |
| Physicians | 392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mackenzie M Mertz | Psychiatry | Sanford Clinic | 2400 W 49th St, Psych Clinic, Sioux Falls, SD 57105-6581 |
| Andrew J Erie | Diagnostic Radiology | Sanford Clinic | 1210 W 18th St, Suite Ll03, Sioux Falls, SD 57104-4654 |
| Evan M Wiersma | Physical Therapy | Sanford Clinic | 104 Buncombe Dr, Rock Rapids, IA 51246-1003 |
| Shauna M Jacobs | Nurse Practitioner | Sanford Clinic | 1309 W 17 St, Radiation Oncology, Sioux Falls, SD 57104-4663 |
| Kylee B Whitney | Nurse Practitioner | Sanford Clinic | 1508 W 22nd St, Suite 101, Sioux Falls, SD 57105-1506 |
| Rachel M Lynde | Nurse Practitioner | Sanford Clinic | 922 22nd Ave S, Brookings, SD 57006-2830 |
| Lori L Thom | Clinical Social Worker | Sanford Clinic | 308 8th N St, Mountain Lake, MN 56159-1568 |
| Kimberly Haines | Nurse Practitioner | Sanford Clinic | 640 E Sioux Ave, 2 Child Spec Clin, Pierre, SD 57501-3300 |
| Cari A Folkens | Nurse Practitioner | Sanford Clinic | 600 W Cedar St, Beresford, SD 57004-1125 |
| Nichole R Krier | Nurse Practitioner | Sanford Clinic | 900 E 54th N St, Suite 100, Sioux Falls, SD 57104-0681 |
| Street Address |
107 1ST ST E |
| City | CANBY |
| State | MN |
| Zip | 56220-1342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter B Meier | Gastroenterology | 112 N St Olaf Ave, Canby Comm Health Se, Canby, MN 56220-1372 | |
| Robert C Welker | Chiropractic | 109 Saint Olaf Ave S, Canby, MN 56220-1432 | |
| Kahley E Meyer | Physician Assistant | Sanford Health Network | 112 St Olaf St, Sanford Canby Medical Center, Canby, MN 56220-1433 |
| Kimberly J Haycraft-williams | Emergency Medicine | Sanford Health Network | 112 Saint Olaf Ave S, Sanford Canby Medical Center, Canby, MN 56220-1433 |
| Julie K Rasmussen | Physician Assistant | Sanford Health Network | 112 St Olaf St, Sanford Canby Medical Center, Canby, MN 56220-1433 |
| Michelle M Danielson | Nurse Practitioner | Sanford Health Network | 112 St Olaf St, Sanford Canby Medical Center, Canby, MN 56220-1433 |
| Robbie M Kazi | Physician Assistant | Sanford Health Network | 112 St Olaf St, Sanford Canby Medical Center, Canby, MN 56220-1433 |
| Hector E Aybar | Family Medicine | Sanford Health Network | 112 Saint Olaf Ave S, Sanford Canby Medical Center, Canby, MN 56220-1433 |
| Maritza Lopez | Internal Medicine | Sanford Health Network | 112 St Olaf St, Sanford Canby Medical Center, Canby, MN 56220-1433 |
| Lindsey A Hanson | Family Medicine | Sanford Health Network | 112 St Olaf St, Sanford Canby Medical Center, Canby, MN 56220-1433 |
| Find all physicians in zip 56220 | |||
| City | CANBY |
| Zip Code | 56220 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | CANBY + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Larry R Burris.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.