Organization Active NPI

William J. Burtis, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Concord, MA
National Provider Identifier
1689880080
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
150123 Issued in MA
Legal business name
WILLIAM J. BURTIS, M.D.
Practice address
131 Old Road to 9 Acre Cor
Suite 600
Concord, MA 01742-4181
Phone
(978) 287-9590
Fax
(978) 287-5700
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
William J Burtis, M.D.
Title
Proprietor
Phone
(978) 287-9590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 150123 MA Primary

Addresses

Primary practice location

131 Old Road to 9 Acre Cor
Suite 600
Concord, MA 01742-4181

Mailing address

131 Old Road to 9 Acre Cor
Suite 600
Concord, MA 01742-4181
Phone (978) 287-9590

Other identifiers 1

IdentifierTypeStateIssuer
3148718MedicaidMA

National Provider Directory

National Provider Directory

Locations

747 Main St
Ste 123
Concord, MA 01742
Phone (978) 287-9590

131 Ornac
Ste 600
Concord, MA 01742
Phone (978) 287-9590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1689880080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR",
            "address_2": "SUITE 600",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424181",
            "telephone_number": "978-287-9590",
            "fax_number": "978-287-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR",
            "address_2": "SUITE 600",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424181",
            "telephone_number": "978-287-9590",
            "fax_number": "978-287-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. BURTIS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BURTIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "978-287-9590",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "150123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3148718",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.