MR. BENJAMIN A BURROUGHS


Address: 2799 W. Grand Blvd, K-14, Henry Ford Cardiac Surgery Pofessional Building, Detroit, MI 48202
Phone: 3139162695

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
5601003662 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 81471378 05

Office Location

Street Address 2799 W. GRAND BLVD , K-14
HENRY FORD CARDIAC SURGERY POFESSIONAL BUILDING
City DETROIT
State MI
Zip Code 48202

Providers in the same zip code

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 Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City DETROIT
Zip Code 48202

Improve Information

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Dataset Information

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.

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