Glen Burton (NPI# 1689672081, PAC ID# 5092738856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1689672081 |
| PAC ID by PECOS | 5092738856 |
| Professional Enrollment ID | I20060106000514 |
| Full Name | Glen Burton |
| Organization Legal Name | MERCY HEALTH PHYSICIANS - NORTH, LLC. |
| Address |
12623 Eckel Junction Rd Perrysburg OH 43551-1304 |
| Phone Number | 4193681500 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO AT TOLEDO |
| Graduation Year | 1974 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 2668522400 |
| Number of Group Practice Members | 357 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360112 | MERCY ST VINCENT MEDICAL CENTER |
| 360068 | PROMEDICA TOLEDO HOSPITAL |
| 360081 | MERCY ST CHARLES HOSPITAL |
| 360259 | BAY PARK COMMUNITY HOSPITAL |
| 360262 | MERCY ST ANNE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 W Wooster St, Bowling Green, OH 43402-2603 | 4193737696 | TOLEDO CLINIC INCORPORATED |
| 960 W Wooster St, Bowling Green, OH 43402-2646 | TOLEDO CLINIC INCORPORATED | |
| 5805 Monclova Rd, Maumee, OH 43537-1839 | 4198915600 | TOLEDO CLINIC INCORPORATED |
| 718 N Macomb St, Mercy Memorial Hospital, Monroe, MI 48162-7815 | 4192408400 | TOLEDO CLINIC INCORPORATED |
| 730 N Macomb St, Suite 320, Monroe, MI 48162-2904 | 7346825524 | TOLEDO CLINIC INCORPORATED |
| 800 Stewart Rd, Monroe, MI 48162-4226 | 7342427702 | TOLEDO CLINIC INCORPORATED |
| 12623 Eckel Junction Rd, Perrysburg, OH 43551-1304 | 4193681500 | MERCY HEALTH PHYSICIANS - NORTH, LLC. |
| 4126 N Holland Sylvania Rd, Toledo, OH 43623-3536 | TOLEDO CLINIC INCORPORATED | |
| 4235 Secor Rd, Toledo, OH 43623-4231 | 4194795398 | TOLEDO CLINIC INCORPORATED |
| Organization Legal Name | MERCY HEALTH PHYSICIANS - NORTH, LLC. |
| Physicians | 373 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Vespie | Family Medicine | Mercy Health Physicians - North, LLC. | 2735 Navarre Ave, Suite 101, Oregon, OH 43616-3275 |
| Janille Ann Blaylock | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2702 Navarre Ave, Suite 320, Oregon, OH 43616-3224 |
| Shawn M Deats | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2495 W Market St, Tiffin, OH 44883-8450 |
| Miriam Medhkour | Family Medicine | Mercy Health Physicians - North, LLC. | 3851 Navarre Ave, Suite 200, Oregon, OH 43616-3671 |
| Matthew James Lazette | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 111 Clinton St, Maumee, OH 43537-2811 |
| Alyssa Nicole Banks | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 3425 Executive Pkwy, Suite 100, Toledo, OH 43606-1326 |
| Lisa L Leese | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2815 Dustin Rd, Suite C, Oregon, OH 43616-3497 |
| Michelle C Stoyell-conti | Clinical Psychologist | Mercy Health Physicians - North, LLC. | 1 Turtle Creek Cir F, Swanton, OH 43558-8539 |
| Erin C Marten | Certified Nurse Midwife (cnm) | Mercy Health Physicians - North, LLC. | 3715 Airport Hwy, Suite F, Toledo, OH 43615-7193 |
| Lori Morales | Psychologist, Clinical | Mercy Health Physicians - North, LLC. | 1 Turtle Creek Cir, Suite F, Swanton, OH 43558-8539 |
| Street Address |
12623 ECKEL JUNCTION RD |
| City | PERRYSBURG |
| State | OH |
| Zip | 43551-1304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd R Tamlyn | General Surgery | Mercy Health Physicians - North, LLC. | 12623 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Shaili J Desai | Hematology/oncology | Mercy Health Physicians - North, LLC. | 12623 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Rex B Mowat | Hematology/oncology | Mercy Health Physicians - North, LLC. | 12623 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Charu Trivedi | Hematology/oncology | Mercy Health Physicians - North, LLC. | 12623 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Brittany Balusik | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 12623 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Hassan Beydoun | Radiation Oncology | Mercy Health Physicians - North, LLC. | 12623 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Vijay K Mahajan | Pulmonary Disease | Mercy Health Physicians - North, LLC. | 12623 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Sanjay S Shah | Physical Medicine and Rehabilitation | Mercy Health Physicians - North, LLC. | 12623 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Alicia Wohlfarth | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 12623 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Suketu Naginbhai Patel | Radiation Oncology | Mercy Health Physicians - North, LLC. | 12623 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kanchan Pillai | Internal Medicine | Promedica Central Physicians LLC | 25950 N Dixie Hwy, Perrysburg, OH 43551 |
| Kellen Catherine Goldschmidt | Obstetrics/gynecology | Promedica Central Physicians LLC | 25950 N Dixie Hwy, Perrysburg, OH 43551 |
| Mahmood Darr | Internal Medicine | Promedica Central Physicians LLC | 25950 N Dixie Hwy, Perrysburg, OH 43551 |
| Randy Climo | Family Medicine | Randy L. Climo, M.d., Inc. | 1401 Rivercrest Dr, Perrysburg, OH 43551-1095 |
| Scott M Galenski | Certified Clinical Nurse Specialist (cns) | Prohealth Physician Group LLC | 12611 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Melissa Kay Amonette | Emergency Medicine | Riverwood Emergency Services Inc | 12621 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Constance P Cashen | General Surgery | Toledo Surgical Associates, Inc. | 12621 Eckel Junction Rd, Suite 2800, Perrysburg, OH 43551-1304 |
| Bettina I Nazemi | General Surgery | Toledo Surgical Associates, Inc. | 12621 Eckel Junction Rd, Suite 2800, Perrysburg, OH 43551-1304 |
| Saebom Lee | Anesthesiology | Northstar Anesthesia of Ohio LLC | 12621 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Jennifer L Pfleghaar | Emergency Medicine | Riverwood Emergency Services Inc | 12621 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Find all physicians in zip 43551 | |||
| City | PERRYSBURG |
| Zip Code | 43551 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | PERRYSBURG + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Glen Burton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.