| James T Burdett, MD | |
|
1050 W 10th St, Rolla, MO 65401 | |
| (573) 364-9000 | |
| (573) 426-6694 |
| Full Name | James T Burdett |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1050 W 10th St, Rolla, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083684179 | NPI | - | NPPES |
| 036118822 | Medicaid | IL | |
| 207988 | Other | IL | GROUP MED |
| 100500798 | Medicaid | NV | |
| CE9335 | Other | IL | RR MEDICARE GRP |
| P00396911 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 9853 (Nevada) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| James T Burdett, MD 1050 W 10th St, Attn: Executive Director Of Physician Clinics, Rolla, MO 65402 Ph: (573) 364-9000 | James T Burdett, MD 1050 W 10th St, Rolla, MO 65401 Ph: (573) 364-9000 |
Dr. Elizabeth C Dodd, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 910 W 10th St, Rolla, MO 65409 Phone: 573-341-4284 | |
Shawna C Gifford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-426-3643 | |
Jonathan Lee Minor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 910 W 10th St, Rolla, MO 65409 Phone: 573-342-4284 Fax: 573-341-6967 | |
Dr. Sean A. Mcenaney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 W 10th St, Suite 175, Rolla, MO 65401 Phone: 573-341-9163 Fax: 573-368-4248 | |
Shruti Sinha, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-202-2484 | |
Dr. Jennifer Anne Barclay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1605 Martin Springs Dr Ste 250, Rolla, MO 65401 Phone: 573-458-6363 |