Gary Burton, M.D., LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

D0052974 Issued in MD

Legal business name

GARY BURTON, M.D., LLC

Practice address

4000 Mitchellville Rd
Suite 306
Bowie, MD 20716-3104

Phone

(301) 441-3375

Fax

(301) 441-4711

NPI assigned

Feb 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Joyce Marialice Burton, PH.D.

Title

Chief Operating Officer

Phone

(301) 441-3375

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1982900221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE 306",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-441-3375",
            "fax_number": "301-441-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE 306",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-441-3375",
            "fax_number": "301-441-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY BURTON, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "MARIALICE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "301-441-3375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D0052974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "490057",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014200000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dida K. Ganjoo, M.D.
• William S. Garmoe, PH.D.
• Debra Lachaune Garris, MS, OT/L
• Shaquna Garris
• Hannah Katherine Garvey, MA CCC-SLP
• Gary P Ludka D D S P a
• Laurenee Gauvin-Cox
• Akeem Gbadamosi
• Ibrahim Gbadeyanka
• Massiata Gbane

• Plastic and Reconstructive Surgery Physician in Bowie, MD
• Providers in Bowie, MD by specialty
• Plastic and Reconstructive Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.