Burton Clay Plaster, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD 067881-L Issued in PA

Practice address

709 Pennsylvania Ave # 1707
Fort Washington, PA 19034-2910

Phone

(215) 646-2322

Fax

(215) 646-6202

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164549697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 PENNSYLVANIA AVE # 1707",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342910",
            "telephone_number": "215-646-2322",
            "fax_number": "215-646-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 PENNSYLVANIA AVE # 1707",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342910",
            "telephone_number": "215-646-2322",
            "fax_number": "215-646-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASTER",
        "first_name": "BURTON",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD 067881-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Peyton, OTR/L
• Jupcie Pierre, LPN
• Limise Desire Pierre, RN
• Zinnia Mikyung Piotrowski, MED, BCBA, LBS
• Marisa Pizzi, PA-C
• Plastic & Hand Surgery LTD
• Carly Platinsky
• Ann Elizabeth Plenderleith, CW
• Benjamin Thomas Pohronezny
• Polk Simmons Counseling Group LLC

• Family Medicine Physician in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.