Provider Demographics
NPI:1932462777
Name:BURNS, ERIN M (DO)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:BURNS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 N MERIDIAN ST STE 509
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-4383
Mailing Address - Country:US
Mailing Address - Phone:463-272-6995
Mailing Address - Fax:463-583-3762
Practice Address - Street 1:3737 N MERIDIAN ST STE 509
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-4383
Practice Address - Country:US
Practice Address - Phone:463-272-6995
Practice Address - Fax:463-583-3762
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11016760A207Q00000X
IN02004637A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP01588224OtherRR MEDICARE
IN201071030Medicaid
IN266180572Medicare PIN