Active NPI
Edward M Burton, MD
- Diagnostic Radiology Physician
- Gainesville, FL
National Provider Identifier
1093746760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME107754
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-3003 - Phone
- (352) 265-0291
- NPI assigned
- Jul 5, 2006
- Last updated
- Oct 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 09816 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | ME107754 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-3003
Mailing address
PO Box 918025
Orlando, FL 32891-8025
Phone (352) 265-0291
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430059070 | Other | TN | RR MCARE-ADR |
| 3851311 | Medicaid | TN | |
| 000117697 | Medicaid | GA | |
| 3152009 | Other | TN | PLAZA BC/BS OF TN |
| 3152000 | Other | TN | ADR BC/BS OF TN |
| 002952200 | Medicaid | FL | |
| 009929010 | Medicaid | AL | |
| 300118992 | Other | TN | RR MCARE-CI |
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 |
|---|---|---|---|
| 09816 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Diagnostic Radiology Inc | Diagnostic Radiology | Past | Accepting new patients |
| Radcare of Tennessee PC | Diagnostic Radiology | Past | Accepting new patients |
| Plaza Radiology, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Past | Accepting new patients |
| Cartersville Diagnostic Center | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Chattanooga, TN
- NPI 1437119328
-
- Radiology Clinic/Center
- Cartersville, GA
- NPI 1932138716
-
dba Chattanooga Imaging
- Diagnostic Radiology Physician
- Chattanooga, TN
- NPI 1609836584
-
- Diagnostic Radiology Physician
- Chattanooga, TN
- NPI 1538186226
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1861478489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1093746760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 918025",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328918025",
"telephone_number": "352-265-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103003",
"telephone_number": "352-265-0291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "EDWARD",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "09816",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME107754",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE-ADR",
"identifier": "430059070",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3851311",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000117697",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PLAZA BC/BS OF TN",
"identifier": "3152009",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADR BC/BS OF TN",
"identifier": "3152000",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002952200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009929010",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE-CI",
"identifier": "300118992",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.