1205831203 NPI number — RONALD C BURTON MD

Table of content: RONALD C BURTON MD (NPI 1205831203)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205831203 NPI number — RONALD C BURTON MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BURTON
Provider First Name:
RONALD
Provider Middle Name:
C
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205831203
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/11/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14913 COLLECTIONS CENTER DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60693
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-834-5111
Provider Business Mailing Address Fax Number:
480-834-5222

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1432 S DOBSON RD
Provider Second Line Business Practice Location Address:
STE 509
Provider Business Practice Location Address City Name:
MESA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-834-5111
Provider Business Practice Location Address Fax Number:
480-834-5222
Provider Enumeration Date:
06/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207VG0400X , with the licence number:  9421 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0022665604 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 226656 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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