Basic Information
| Provider Information | |||||||||
| NPI: | 1740269950 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BURAS | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 12622 | ||||||||
| Address2: | |||||||||
| City: | BELFAST | ||||||||
| State: | ME | ||||||||
| PostalCode: | 049154017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4434816573 | ||||||||
| FaxNumber: | 4434816515 | ||||||||
| Practice Location | |||||||||
| Address1: | 2000 MEDICAL PARKWAY | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | ANNAPOLIS | ||||||||
| State: | MD | ||||||||
| PostalCode: | 214013744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4434815300 | ||||||||
| FaxNumber: | 4434816705 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2006 | ||||||||
| LastUpdateDate: | 12/05/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 0101058729 | VA | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | D46955 | MD | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 2143281 | 01 | VA | MAMSI | OTHER | 8147532 | 01 | MD | AETNA | OTHER | CA9037 | 01 | VA | MCR RAILROAD | OTHER | 1147937 | 01 | VA | AETNA HMO | OTHER | 4619170 | 01 | VA | AETNA NON HMO | OTHER | 94565204 | 01 | MD | BCBS | OTHER | 94565206 | 01 | MD | BCBS | OTHER | CO2375 | 01 | VA | MEDICARE GROUP | OTHER | V8080010 | 01 | DC | BCBS | OTHER | V8380010 | 01 | DC | BCBS | OTHER | V8740010 | 01 | DC | BCBS | OTHER | 010229162 | 05 | VA | MEDICAID | 186406 | 01 | VA | ANTHEM | OTHER | 0101058729 | 01 | VA | LICENSE | OTHER | 94565205 | 01 | MD | BCBS | OTHER |