Burton Wellness and Injury Center

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD031220E Issued in PA

Legal business name

BURTON WELLNESS AND INJURY CENTER

Doing business as

FREDERICK D BURTON MD

Practice address

1455 City Ave
Wynnewood, PA 19096-3820

Phone

(610) 649-4325

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Diane Burton

Title

Office Manager

Phone

(610) 649-4325

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FREDERICK D BURTON MD Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2778/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902910896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 CITY AVE",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 CITY AVE",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963820",
            "telephone_number": "610-649-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURTON WELLNESS AND INJURY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-649-4325"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD031220E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3986378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FREDERICK D BURTON MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Umber Burhan, MD
• Henry Peter Burke, DO
• James Burke, MD
• M Susan Burke, MD
• Paul J Burrichter, R.PH.
• Dorothy Jean Burton, MS
• Joseph S Bushra, MD
• Jennifer Busillo, PHARMD
• Audrianna Bustos, CRNA
• Benjamin Caceres, MD

• Non-Pharmacy Dispensing Site in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.