MR. BENJAMIN A BURROUGHS (NPI# 1174740229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174740229 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN A BURROUGHS |
| Credential | PA-C |
| Practice Address |
2799 W. Grand Blvd, K-14 Henry Ford Cardiac Surgery Pofessional Building Detroit MI 48202 |
| Mailing Address |
2799 W Grand Blvd Phs Provider Enrollment Detroit MI 48202-2608 |
| Practice Telephone | 3139162695 |
| Practice Fax Number | 3139162687 |
| Mailing Telephone | 3139162695 |
| Mailing Fax Number | 3139162687 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2014-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
5601003662 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 81471378 | 05 |
| Street Address |
2799 W. GRAND BLVD , K-14 HENRY FORD CARDIAC SURGERY POFESSIONAL BUILDING |
| City | DETROIT |
| State | MI |
| Zip Code | 48202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831539469 | Bayoan Manuel Ramos-parra | Internal Medicine | 311 Mack Ave Ste 21025, Detroit, MI 48201-2466 | 2013-06-27 |
| 1972796373 | Mark K. Lahiri | Internal Medicine | 2799 W Grand Blvd., Detroit, MI 48202 | 2007-08-20 |
| 1619181427 | Aiden Abidov | Internal Medicine | 4160 John R St Ste 804, Detroit, MI 48201-2014 | 2007-05-10 |
| 1225151061 | Dee Dee Wang | Internal Medicine | 2799 W Grand Blvd # K-14, Detroit, MI 48202-2608 | 2007-04-09 |
| 1831267376 | Arif Husain Hakim | Internal Medicine | 14500 W Mcnichols Rd, Detroit, MI 48235-3904 | 2006-12-01 |
| 1528145679 | Zeia Casab Rueda | Internal Medicine | 5662 W Vernor Hwy, Detroit, MI 48209-2158 | 2006-11-01 |
| 1841398880 | Narsimha Reddy Gottam | Internal Medicine | 7633 E Jefferson Ave., Suite #360, Detroit, MI 48214-3732 | 2006-09-21 |
| 1033221056 | Khaled M Sleik | Internal Medicine | 311 Mack Ave Ste 2101, Detroit, MI 48201-2466 | 2006-08-31 |
| 1992817076 | Pritpal Singh Puri | Internal Medicine | Harper Hospital 3990john R, C/o Medical Affairs, Detroit, MI 48201-2403 | 2006-08-31 |
| 1255446217 | Mouaz H Al-mallah | Internal Medicine | 2799 W Grand Blvd # K14, Detroit, MI 48202-2608 | 2006-08-20 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on MR. BENJAMIN A BURROUGHS.
| 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.