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 1:4885 DEMOSS RD
Mailing Address - Street 2:STE 203
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-9023
Mailing Address - Country:US
Mailing Address - Phone:610-378-9878
Mailing Address - Fax:
Practice Address - Street 1:670 PARK AVE
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:MT
Practice Address - Zip Code:59474-1663
Practice Address - Country:US
Practice Address - Phone:406-434-3100
Practice Address - Fax:406-434-3143
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006243L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY12294AOtherWY STATE LICENSE
ND15093OtherNORTH DAKOTA STATE LICENSE