Individual provider Active NPI

Juanita Burton, MD

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1124067699
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD049951 Issued in PA
Practice address
251 E Bringhurst St
Philadelphia, PA 19144-1719
Phone
(215) 844-1020
Fax
(215) 844-2702
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD049951 PA Primary

Addresses

Primary practice location

251 E Bringhurst St
Philadelphia, PA 19144-1719

Mailing address

251 E Bringhurst St
Philadelphia, PA 19144-1719
Phone (215) 844-1020

Other identifiers 1

IdentifierTypeStateIssuer
01413687MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140812002112 PA Practitioner - Obstetrics/Gynecology 4587881792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant House IncGroup PAC ID 3476591686, 4 clinicians

Practice addresses (Care Compare)

251 E Bringhurst St
Covenant House Health Services
Philadelphia, PA 19144-1719
Phone (215) 844-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD049951PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant House Inc CurrentSince May 24, 2014 Accepting new patients
Covenant House Inc CurrentSince May 24, 2014 Accepting new patients

Locations

251 E Bringhurst St
Philadelphia, PA 19144
Phone (215) 248-7560

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: juanita.burton.p1@direct.covenanthousehealth.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1124067699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E BRINGHURST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441719",
            "telephone_number": "215-844-1020",
            "fax_number": "215-844-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E BRINGHURST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441719",
            "telephone_number": "215-844-1020",
            "fax_number": "215-844-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "JUANITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD049951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01413687",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.