MICHAEL W BURGESS (NPI# 1467472555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467472555 |
| Entity Type | Individual |
| Full Name | MICHAEL W BURGESS |
| Credential | D.O. |
| Practice Address |
1401 W North St Jackson MI 49202-3135 |
| Mailing Address |
Po Box 67000 Dept 272801 Detroit MI 48267-2728 |
| Practice Telephone | 5177822555 |
| Practice Fax Number | 5177823399 |
| Mailing Telephone | 5178417490 |
| Mailing Fax Number | 5178416917 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MB009713 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0803800302 | 01 |
| MI | PHYSICIAN HEALTH PLAN | 0120037 | 01 |
| MI | 2764426 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730560525 | Michael Burgess | Internal Medicine | 300 Zapata Ave, Rancho Viejo, TX 78575-9654 | 2015-06-17 |
| 1346570579 | Michael Burgess | Pharmacist | 10315 E Broadway Blvd, Tucson, AZ 85748-3409 | 2010-01-11 |
| 1083869242 | Michael Raymond Burgess | Internal Medicine | 995 Potrero Ave, Building 80, Ward 86, San Francisco, CA 94110-2859 | 2008-12-01 |
| Street Address |
1401 W NORTH ST |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063460590 | Maria Soto | Family Medicine | 1401 W North St, Jackson, MI 49202-3135 | 2006-05-05 |
| 1255836763 | W A Foote Memorial Hospital Inc | Clinic/Center | 1401 W North St, Jackson, MI 49202-3135 | 2018-03-27 |
| 1538664206 | W. A. Foote Memorial Hospital, Inc | Clinical Medical Laboratory | 1401 W North St, Jackson, MI 49202-3135 | 2018-03-26 |
| 1225537376 | Anthony Robertson | Physician Assistant | 1401 W North St, Jackson, MI 49202-3135 | 2018-02-05 |
| 1730561473 | Cassie Bluhm | Family Medicine | 1401 W North St, Jackson, MI 49202-3135 | 2015-06-18 |
| 1194012302 | Heidi Renee Pusey | Nurse Practitioner | 1401 W North St, Jackson, MI 49202-3135 | 2011-07-08 |
| 1952573602 | Randy Kent Bell | Internal Medicine | 1401 W North St, Allegiance North Street, Jackson, MI 49202-3135 | 2008-04-01 |
| 1396914230 | Brad Ernest Kremer | Family Medicine | 1401 W North St, Jackson, MI 49202-3135 | 2008-02-25 |
| 1538183181 | Centre for Family Medicine P.C. | Family Medicine | 1401 W North St, Jackson, MI 49202-3135 | 2006-07-27 |
| 1205856390 | Brian Arthur Adamczyk | Family Medicine | 1401 W North St, Jackson, MI 49202-3135 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1003470758 | Central Mississippi Health Services, Inc | Family Medicine | 3450 Highway 80 W Ste 71, Jackson, MS 39209-7201 | 2019-04-29 |
| 1922515493 | Meaghan Schenk Johnson | Family Medicine | 2969 Curran Dr N # 200, Jackson, MS 39216-4121 | 2018-01-05 |
| 1740795731 | Emily Colleen Dunaway | Family Medicine | 1227 N State St # 101, Jackson, MS 39202-2002 | 2017-12-12 |
| 1679086367 | Hope Np House Call Practice | Family Medicine | 98 Grandview Ave, Jackson, OH 45640-9090 | 2017-11-16 |
| 1427585488 | Daniel Matthew Bender | Family Medicine | 455 W Broadway Ave, Jackson, WY 83001-8639 | 2017-05-21 |
| 1891235289 | Logan Hardin | Family Medicine | 1270 Union University Dr Ste A, Jackson, TN 38305-3856 | 2017-03-03 |
| 1255782843 | Seth Tyler Koehler | Family Medicine | 2600 E Main St, Jackson, MO 63755-2473 | 2016-06-25 |
| 1720495245 | Gopi Patel | Family Medicine | 27 S Cooks Bridge Rd Ste 2-1, Jackson, NJ 08527-2524 | 2014-07-16 |
| 1154735165 | Lk Physicians Services Pllc | Family Medicine | 36 Lake Pointe Dr, Jackson, TN 38305-8113 | 2014-06-17 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on MICHAEL W 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.