Healthcare Provider Details

I. General information

NPI: 1376939421
Provider Name (Legal Business Name): JONATHAN A BURTON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2015
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5070 BRADENTON AVE
DUBLIN OH
43017-3520
US

IV. Provider business mailing address

5070 BRADENTON AVE
DUBLIN OH
43017-3520
US

V. Phone/Fax

Practice location:
  • Phone: 614-764-1777
  • Fax: 614-764-9555
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number34.012969
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34.012969
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: