NPI 1427378249 · live from the CMS NPI Registry
Alexis Burakoff
Pediatrics, Pediatric Emergency Medicine in Aurora, CO. National Provider Identifier 1427378249, active.
NPI record
| NPI | 1427378249 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Emergency Medicine 2080P0204X |
| Practice location | 13123 E 16th Ave, Aurora, CO 80045 |
| Practice phone | 720-777-1234 |
| Mailing address | Po Box 110429, Aurora, CO 80042 |
| Enumerated | June 3, 2010 |
| Last updated | August 23, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | LP01973 (RI) |
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | DR.0061952 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.