Provider Demographics
NPI:1497775100
Name:BURINSKY, RONALD LEE (DO)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LEE
Last Name:BURINSKY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 STATE HIGHWAY 30
Mailing Address - Street 2:
Mailing Address - City:BASIN
Mailing Address - State:WY
Mailing Address - Zip Code:82410-8801
Mailing Address - Country:US
Mailing Address - Phone:484-794-1013
Mailing Address - Fax:
Practice Address - Street 1:35 STATE HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:BASIN
Practice Address - State:WY
Practice Address - Zip Code:82410-8801
Practice Address - Country:US
Practice Address - Phone:484-794-1013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006243L207Q00000X
WY12294A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND15093OtherNORTH DAKOTA STATE LICENSE
WY12294AOtherWY STATE LICENSE