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JEFFREY DANIEL BURRY D.O. NPI 1275698367


NPI Information

NPI: 1275698367
Provider Name: JEFFREY DANIEL BURRY, D.O.
Classification: Otolaryngology - 207Y00000X
Entity Type: Individual
Organization: VALLEY FACIAL PLASTICS AND ENT, PA

PECOS Registration: Yes

Address:
330 WARNER DR
LEWISTON, ID
ZIP 83501
Phone: (208) 746-0193
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Jeffrey Daniel Burry, D.O. is an otolaryngology in Lewiston, ID with 24 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Jeffrey Daniel Burry, D.O. NPI is 1275698367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2000

The provider's business location address is:

330 WARNER DR
LEWISTON, ID
ZIP 83501-441
Phone: (208) 746-0193
Fax: (208) 746-7074

The NPI 1275698367 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips (HCPCS:11642)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Injection of allergenic extracts into skin for immediate reaction analysis (HCPCS:95024)
  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)
  • Fine needle aspiration using imaging guidance (HCPCS:10022)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)

The enumeration date for this NPI number is 12/27/2006 and was last updated on 4/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyOP00001929WASHINGTONNo
2207Y00000XOtolaryngologyO-337IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18398166MEDICAIDWASHINGTON
28805377MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
355098OTHERBLUECROSS OF IDAHO
4H84615MEDICARE UPIN
51302895MEDICARE ID-TYPE UNSPECIFIEDIDAHO
6P00154348MEDICARE ID-TYPE UNSPECIFIEDRAILROAD MEDICARE
7000010147208OTHERREGENCE BLUESHIELD OF ID
8806910700MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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