SCOTT DAVID BURGESS (NPI# 1023080991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023080991 |
| Entity Type | Individual |
| Full Name | SCOTT DAVID BURGESS |
| Credential | MD |
| Practice Address |
1111 Leffingwell Ave Ne Suite 200 Grand Rapids MI 49525-6406 |
| Practice Telephone | 6164597101 |
| Practice Fax Number | 6164646170 |
| Mailing Telephone | 6164597101 |
| Mailing Fax Number | 6164646170 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2016-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 4301087092 | MI | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
4301087092 | MI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301087092 | MI | Allopathic & Osteopathic Physicians |
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
4301087092 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4834931 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811270127 | Scott Burgess | Otolaryngology | 710 White Swan Dr, Arnold, MD 21012-1519 | 2011-09-22 |
| 1770972028 | Scott Paul Burgess | Social Worker | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 | 2015-01-09 |
| 1679889489 | Scott Burgess | Registered Nurse | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2010-08-31 |
| 1659465268 | Scott Burgess | Counselor | 3350 Salt Creek Lane, Suite 114, Arlington Heights, IL 60005-1089 | 2006-10-03 |
| 1205858438 | Scott Christopher Burgess | Physical Therapist | 130 Goff Mountain Rd, Cross Lanes, WV 25313-1419 | 2006-07-24 |
| 1609854835 | Scott Vassar Burgess | Urology | 120 Kings Way, Suite 3200, Williamsburg, VA 23185-2505 | 2006-01-06 |
| Street Address |
1111 LEFFINGWELL AVE NE SUITE 200 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437151834 | William G Brinkmeier | Physician Assistant | 1111 Leffingwell Ave Ne, Ste 100, Grand Rapids, MI 49525-6406 | 2005-08-15 |
| 1316571334 | Beth A Ronda | Occupational Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2020-02-28 |
| 1811535172 | Kaylyn Fales | Specialist/Technologist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2019-12-18 |
| 1275170540 | Marissa Marguerite Hansen | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2019-12-05 |
| 1285120568 | Danielle M Beaudoin | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-07-10 |
| 1235630203 | Michael D Newlin | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-02-26 |
| 1649787128 | Corey John Koll | Physician Assistant | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-01-05 |
| 1144735093 | Bradley M Griffin | Occupational Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-12-13 |
| 1811412315 | Logan M Neil | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-08-07 |
| 1053848929 | Hilary May Fredricks | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386651487 | B Kent Maupin Md PC | Orthopaedic Surgery | 1001 Medical Park Dr Se, Suite 211, Grand Rapids, MI 49546-3610 | 2006-08-02 |
| 1811173412 | Daniel Olsen Do | Orthopaedic Surgery | 2000 Burton St Se, Grand Rapids, MI 49506-4670 | 2008-01-14 |
| 1023235884 | Viet Huu Do | Orthopaedic Surgery | 1111 Leffingwell Ne, Suite 200, Grand Rapids, MI 49525-6406 | 2007-04-20 |
| 1801830187 | Donald P Condit Md Pllc | Orthopaedic Surgery | 1000 E Paris Ave Se, Suite 115, Grand Rapids, MI 49546-3680 | 2006-06-16 |
| 1194783936 | Bernard Kent Maupin | Orthopaedic Surgery | 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525-6406 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861736027 | Scott Sami Samona | Orthopaedic Surgery | 22731 Newman St Ste 100a, Dearborn, MI 48124-2031 | 2012-11-12 |
| 1720216187 | William R. Truluck II Do Pllc | Orthopaedic Surgery | 3945 Okemos Rd Ste B4, Okemos, MI 48864 | 2009-06-24 |
| 1215101290 | Ruth Marie Baer | Orthopaedic Surgery | 965 Fee Rd, East Fee Hall, Room A233, East Lansing, MI 48824-6569 | 2008-04-21 |
| 1962617639 | William Ray Truluck | Orthopaedic Surgery | 1841 Newman Rd, Suite, Okemos, MI 48864-1122 | 2007-05-14 |
| 1710102389 | Uzma Rehman Do PC | Orthopaedic Surgery | 45650 Schoenherr Rd, Suite A, Shelby Township, MI 48315-6033 | 2007-04-17 |
| 1033140959 | Frederick Victor Minkow | Orthopaedic Surgery | 43700 Woodward Avenue, Suite 205, Bloomfield Hills, MI 48302-0561 | 2006-07-06 |
| 1245261007 | Stephen Edward Werner | Orthopaedic Surgery | 1349 S Rochester Rd Ste 225, Rochester Hills, MI 48307-3183 | 2006-07-06 |
| 1801839816 | David L Gerstner | Orthopaedic Surgery | 601 John St Ste M-206c, Kalamazoo, MI 49007-5359 | 2006-06-14 |
| 1730120361 | John Michael Trupiano | Orthopaedic Surgery | 201 W Big Beaver Rd Ste 1140, Troy, MI 48084-4160 | 2006-06-08 |
| 1164408985 | Steven Alan Kushner | Orthopaedic Surgery | 3272 E 12 Mile Rd Ste 106, Deerfield Meadows, Warren, MI 48092-5622 | 2005-12-22 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on SCOTT DAVID BURGESS.
| 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.