Active NPI
Mary Burton, M.D.
- Pediatrics Physician
- Sterling Heights, MI
National Provider Identifier
1033108337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301054386
- Practice address
- 3500 15 Mile Rd
Sterling Heights, MI 48310-5353 - Phone
- (586) 977-6356
- NPI assigned
- Oct 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301054386 | MI | Primary |
Addresses
Primary practice location
3500 15 Mile Rd
Sterling Heights, MI 48310-5353
Mailing address
3500 15 Mile Rd
Sterling Heights, MI 48310-5353
Phone (586) 977-6356
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4737188 | Medicaid | MI | |
| 430105486 | Other | MI | STATE LISCENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mburton19114@direct.hfhs.org | Henry Ford Health System |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301054386 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1033108337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 15 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483105353",
"telephone_number": "586-977-6356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 15 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483105353",
"telephone_number": "586-977-6356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "MARY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2023-03-07",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301054386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4737188",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISCENSE",
"identifier": "430105486",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mburton19114@direct.hfhs.org",
"affiliation": "Y",
"affiliationName": "Henry Ford Health System",
"address_1": "2799 W Grand Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482022608",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.