DR. M.D. Charles Nicholas Burns JR., NPI 1225022858
Addiction Medicine (Psychiatry & Neurology) Physician in Scranton, PA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1225022858
NPI Entity Type Individual
Provider Name DR. M.D. Charles Nicholas Burns JR.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 501 S Washington Ave Ste 1000, Scranton, PA, US
Provider Mailing Address 501 S Washington Ave Ste 1000, Scranton, PA, US, 185053814
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2084A0401X

Taxonomy Name Addiction Medicine (Psychiatry & Neurology) Physician
Classification

Psychiatry & Neurology

Group

Allopathic & Osteopathic Physicians

License No. MD019709E
License State PA
Description A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Business Address

DR. M.D. Charles Nicholas Burns JR.
501 S Washington Ave Ste 1000

Scranton, PA, US

Phone: 570-941-0630
Fax: 570-230-0013

Mailing Address

DR. M.D. Charles Nicholas Burns JR.
501 S Washington Ave Ste 1000
Scranton, PA, US
ZIP 185053814
Phone: 570-941-0630
Fax: 570-230-0013

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

174400000X

Other Service Providers

Specialist

MD019709E PA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0007978940002 PA MEDICAID 05
0900660001 PA MEDICARE DME 01
11762 6365 PA GEISINGER HEALTH PLAN 01
072965 PA FIRST PRIORITY HEALTH 01
34369 PA BLUE SHIELD 01
01042601 DC CAPITAL BLUE CROSS 01
20010385 PA AMERIHEALTH MERCY 01
000000075845 PA MEDPLUS 01
2Y1004 PA HEALTHNET 01
340009441 PA TRAVELER'S RAILROAD MEDIC 01
505911 PA AETNA US HEALTHCARE 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] DIRECT No 8 Church St, Wilkes Barre, PA, US
DIRECT [email protected] HISP DIRECT OTHER No 501 S Washington Ave Ste 1000, Scranton, PA, US

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Organization

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Lycorx Llc

Organization

Pharmacy

33 W 3rd St

Williamsport, PA

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