Mark Nathan Burton, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Fairbanks, AK
NPI 1508970971 · NPPES record last updated May 29, 2008
Key facts
- NPI
- 1508970971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 4099 (AK)
- Practice address
- 1650 Cowles St
Fairbanks, AK 99701-5925 - Phone
- (907) 458-5660
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4099 | AK | MD | Diagnostic Radiology Physician |
Interoperability endpoints
- mark.burton.1@15989.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4099 | AK | Yes |
Addresses
Primary practice location
1650 Cowles St
Fairbanks, AK 99701-5925
Mailing address
PO Box 70378
Fairbanks, AK 99707-0378
Phone (907) 456-2784
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD09961 | Medicaid | AK | |
| MD0996 | Medicaid | AK |
Other providers in Fairbanks, AK
- Casey Burnett
- Reilly S Burrell
- Anne Burtness
- Elizabeth Burton
- Katelyn Burton
- Michael Rex Burton
- Monika Burzynska-Mason
- Olivia Burzynska
- Erika Busbice
- Savannah Bush
All providers in Fairbanks, AK · Diagnostic Radiology Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.