Dr Ilyas Burny, MD | |
1 Hospital Dr, Columbia, MO 65212-0001 | |
(573) 882-6544 | |
(573) 884-5226 |
Full Name | Dr Ilyas Burny |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | 1 Hospital Dr, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235140559 | NPI | - | NPPES |
214221 | Other | MO | BCBS |
723806 | Other | MO | HEALTHLINK |
208367110 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2003028521 (Missouri) | Secondary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 2003028521 (Missouri) | Primary |
Entity Name | Valley Childrens Specialty Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013968296 PECOS PAC ID: 9638072614 Enrollment ID: O20040128000542 |
Entity Name | Pediatric Anesthesia Associates Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558588871 PECOS PAC ID: 5193963718 Enrollment ID: O20130521000226 |
Mailing Address | Practice Location Address |
---|---|
Dr Ilyas Burny, MD Po Box 7687, Columbia, MO 65205-7687 Ph: (573) 882-2259 | Dr Ilyas Burny, MD 1 Hospital Dr, Columbia, MO 65212-0001 Ph: (573) 882-6544 |
Bailey M Clancy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Hospital Drive Pediatrics Dc058.00, Columbia, MO 65212 Phone: 573-882-4438 Fax: 573-884-9992 | |
Daniela Cristina Bichianu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1021 Hitt St, Columbia, MO 65212 Phone: 573-219-3960 Fax: 573-219-3964 | |
Dr. Danielle Renee Keebaugh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-882-6544 Fax: 573-884-5179 | |
Nathan K Beckett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 404 N Keene St, Columbia, MO 65201 Phone: 573-882-4438 Fax: 573-884-9992 | |
Abdul-azeez Abdullahi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4438 Fax: 573-884-9992 | |
Melissa A Lawson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-882-6921 Fax: 573-882-1154 | |
Dr. Laura E. Henderson Kelley, M.D, MPH Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 101 S Fairview Rd, Columbia, MO 65203 Phone: 573-882-4464 |