DR. ELIJAH JOHN BURTON (NPI# 1861881716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861881716 |
| Entity Type | Individual |
| Full Name | DR. ELIJAH JOHN BURTON |
| Credential | MD |
| Practice Address |
340 Boatner Rd Eglin Afb FL 32542-1391 |
| Mailing Address |
114 Meigs Dr Shalimar FL 32579-2213 |
| Practice Telephone | 8508838600 |
| Mailing Telephone | 9136533460 |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2020-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
31237 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
340 BOATNER RD |
| City | EGLIN AFB |
| State | FL |
| Zip Code | 32542-1391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042178 | Whitney Nichole Eckstine | Military Health Care Provider | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-10-30 |
| 1992327779 | Janel Montfort-tunstall | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-14 |
| 1124640164 | Sydney Giblin | Military Health Care Provider | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-13 |
| 1366064396 | Ishan Chopra | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-13 |
| 1538781513 | Danielle Marie Wilkin | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-12 |
| 1750917597 | Kyle Olsen | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-03-12 |
| 1336774215 | Emanuel Leroy Lookadoo Jr. | Military Health Care Provider | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-03-11 |
| 1669012555 | Jeremy Carmical | Military Health Care Provider | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-01-09 |
| 1699318816 | Alicia Marie Scott | Nurse Anesthetist, Certified Registered | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2019-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
| 1841679529 | Matthew Scurria | Dentist | 340 Boatner Rd. Bldg 2751, 96 Dental Squadron/sgdr, Eglin Afb, FL 32542 | 2015-05-27 |
| 1134518798 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542 | 2015-01-20 |
| 1598177123 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 | 2014-06-02 |
| 1548602923 | Gerald Jordan Novack | Psychologist | 96mdos/sgow, 307 Boatner Rd, Fpo, AP 32542 | 2013-07-25 |
| 1699112821 | Taylor Anne Hahn | Obstetrics & Gynecology | 96th Medical Group, 307 Boatner Road, Eglin Air Force Base, FL 32542 | 2013-05-29 |
| 1134402662 | Jessamy Jae Thornton | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Bldg 2751, Eglin Afb, FL 32542 | 2011-09-21 |
| 1346523974 | Mary Elizabeth Sorrentino | Dentist | 340 Boatner Road, Blgd. 2751, Eglin Afb, FL 32542 | 2011-09-20 |
| 1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
| 1144516287 | Russell David Bienias | Dentist | 96th Dental Squadron (afmc), Eglin Afb, FL 32542 | 2011-06-28 |
| Find all providers in zip 32542 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730323213 | Brett Kellen Searcey | Radiology | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2009-04-28 |
| 1437378742 | David Mccollough Ross II | Radiology | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2007-04-25 |
| 1932323946 | Jessica L Abbott | Radiology | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 | 2007-04-12 |
| 1912977570 | Nga T Do | Radiology | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2006-01-25 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.