NATHAN DAVID BURROUGHS (NPI# 1871579037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871579037 |
Entity Type | Individual |
Full Name | NATHAN DAVID BURROUGHS |
Credential | MD |
Practice Address |
9411 N Oak Trfy Ste 202 Kansas City MO 64155-2262 |
Mailing Address |
9411 N Oak Trfy Suite Ll1 Kansas City MO 64155-2262 |
Practice Telephone | 8164688820 |
Practice Fax Number | 8164688898 |
Mailing Telephone | 8164367072 |
Mailing Fax Number | 8164362743 |
Enumeration Date | 2005-12-20 |
Last Update Date | 2010-02-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
0415409 | KS | Allopathic & Osteopathic Physicians |
Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
R5304 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 201188521 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932490471 | Nathan W. Burroughs | Emergency Medicine | 300 Werner, Hot Springs, AR 71913-6406 | 2011-05-01 |
Street Address |
9411 N OAK TRFY STE 202 |
City | KANSAS CITY |
State | MO |
Zip Code | 64155-2262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598769291 | Michelle L Orr | Internal Medicine | 9411 N Oak Trfy, Suite 205, Kansas City, MO 64155-2233 | 2005-06-09 |
1619575644 | Colby Clay Nuessen | Occupational Therapist | 9411 N Oak Trfy, Kansas City, MO 64155-2233 | 2020-10-12 |
1073072740 | David Charles Morris | Specialist/Technologist, Other | 9411 N Oak Trfy, Kansas City, MO 64155-2233 | 2019-03-13 |
1104238815 | Meritas Health Corporation | Internal Medicine | 9411 N Oak Trfy, Suite 205, Kansas City, MO 64155-2233 | 2014-05-29 |
1386060358 | Janet James | Family Medicine | 9411 N Oak Trfy, Suite 205, Kansas City, MO 64155-2233 | 2014-03-13 |
1033545934 | Sleepmed, Inc. | Clinic/Center | 9411 N Oak Trfy, Suite 220a, Kansas City, MO 64155-2233 | 2013-09-24 |
1376807776 | Samantha Marie Fawcett | Family Medicine | 9411 N Oak Trfy, Suite 100, Kansas City, MO 64155-2233 | 2012-06-29 |
1568723823 | Amy Lela Saye | Physical Therapist | 9411 N Oak Trfy, Suite 200, Kansas City, MO 64155-2233 | 2012-06-04 |
1992097034 | Angela D Hargrave | Audiologist | 9411 N Oak Trfy, Suite 202, Kansas City, MO 64155-2233 | 2011-05-09 |
1497047542 | Deborah A Galley | Audiologist | 9411 N Oak Trfy, Suite 202, Kansas City, MO 64155-2233 | 2011-05-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104475383 | Margaret A Shetley | Technician | 9023 Nw Anglia Rd, Kansas City, MO 64155 | 2019-09-10 |
1477031540 | Abby Pearson | Massage Therapist | 190 Ne 90th Street, Suite 16, Kansas City, MO 64155 | 2018-08-01 |
1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
1013322262 | Ryan Bland | Dentist | 9241 North Oak Trafficway, Kansas City, MO 64155 | 2014-06-26 |
1134540289 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 10210 N. Oak Trafficway, Suite 100-300, Kansas City, MO 64155 | 2013-12-16 |
1366875718 | Staley Dental Arts, LLC | Dentist | 506 Ne 107th Street, Kansas City, MO 64155 | 2013-08-20 |
1902137433 | Gary D Cooper | Internal Medicine | 1501 Ne 98th St, Kansas City, MO 64155 | 2010-01-22 |
1780845305 | Heather Jean Malone | Pediatrics | 8781 N. Platte Purchase Drive, Kansas City, MO 64155 | 2008-06-17 |
1639390370 | John Michael Dicapo | Physical Therapist | 1110 Ne 85 Ct, Kansas City, MO 64155 | 2007-05-01 |
1467502021 | Laurie D Riddell | Pediatrics | 8781 N Platte Purchase Dr, Kansas City, MO 64155 | 2007-01-12 |
Find all providers in zip 64155 |
Taxonomy Code | 207YX0007X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Plastic Surgery within the Head & Neck |
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952455065 | Head & Neck Surgery of Kansas City P A | Otolaryngology | 930 Carondelet Dr Bldg C, Suite 305, Kansas City, MO 64114-4855 | 2007-01-23 |
1699978767 | Peter E. Shapiro, M.d., L.L.C. | Otolaryngology | 6675 Holmes Rd, Suite 410, Kansas City, MO 64131-1150 | 2007-06-07 |
1346386265 | Kansas University Physicians Inc | Otolaryngology | 3901 Rainbow Blvd, Ms 3010, Kansas City, KS 66160 | 2007-01-29 |
1194769943 | Douglas A Girod | Otolaryngology | 3901 Rainbow Blvd, Ms 3010, Kansas City, KS 66160-0001 | 2006-06-15 |
1508804667 | Yelizaveta Shnayder | Otolaryngology | 3901 Rainbow Blvd, Ms 3010, Kansas City, KS 66160-8500 | 2006-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669527610 | Head & Neck Surgery of Kansas City P A | Otolaryngology | 17053 S Us Highway 71, Suite 206, Belton, MO 64012-4631 | 2007-01-23 |
1477571198 | Gregory H Branham | Otolaryngology | 1020 N Mason Rd Ste 205, Ste 205, Saint Louis, MO 63141-6300 | 2006-07-18 |
1306811179 | Laxmeesh D Nayak | Otolaryngology | 607 S Lindbergh Blvd, Saint Louis, MO 63131-2734 | 2006-02-22 |
1497747521 | Donald G Sessions | Otolaryngology | 1960 Grassy Ridge Rd, Saint Louis, MO 63122-3539 | 2005-08-16 |
1689872368 | John Chi | Otolaryngology | 1020 N Mason Rd Ste 205, Ste 205, Saint Louis, MO 63141-6300 | 2007-07-05 |
1316144223 | John Judson Barclay Jr. | Otolaryngology | 5301 Faraon St, Ste 160, Saint Joseph, MO 64506-3512 | 2007-07-03 |
1932311826 | St Louis University | Otolaryngology | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-05-04 |
1871715953 | Branson Ear Nose & Throat | Otolaryngology | 545 Branson Landing Blvd, Suite 410, Branson, MO 65616 | 2007-05-02 |
1396836284 | Michael E Bays | Otolaryngology | 545 Branson Landing Blvd, Suite 410, Branson, MO 65616-2035 | 2006-09-27 |
1215928114 | James H Boyd | Otolaryngology | 607 S New Ballas Rd, Ste 2300, Saint Louis, MO 63141-8219 | 2005-10-31 |
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City | KANSAS CITY |
Zip Code | 64155 |
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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.