Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
JOHN DAVIS BURNSIDE
Active
Individual
JOHN DAVIS BURNSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS023994
PA
207P00000X
Emergency Medicine Physician
OT020611
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103143369
—
PA
Enumeration date
03/12/2015
Last updated
07/14/2025
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