DR. JUSTIN JAMES BURDICK (NPI# 1467621136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467621136 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN JAMES BURDICK |
| Credential | M.D. |
| Practice Address |
2325 18th St Ste 220 Columbus IN 47201-5389 |
| Practice Telephone | 8123722245 |
| Mailing Telephone | 8123722245 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2014-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01072757A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2325 18TH ST STE 220 |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201-5389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376657841 | David J Lee | Specialist | 2325 18th St Ste 220, Columbus, IN 47201-5389 | 2006-08-19 |
| 1083188411 | Amber Smith | Dietitian, Registered | 2325 18th St Ste 220, Columbus, IN 47201-5389 | 2019-01-18 |
| 1013303569 | Samantha Grider | Nurse Practitioner | 2325 18th St Ste 220, Columbus, IN 47201-5389 | 2015-04-11 |
| 1699889162 | Douglas Y Roese | Specialist | 2325 18th St Ste 220, Columbus, IN 47201-5389 | 2006-08-19 |
| 1376657858 | Anita D Norris | Nurse Practitioner | 2325 18th St Ste 220, Columbus, IN 47201-5389 | 2006-08-19 |
| 1942314554 | Southern Indiana Surgery Inc | Specialist | 2325 18th St Ste 220, Columbus, IN 47201-5389 | 2006-08-19 |
| 1700990256 | Frederick G Shedd | Specialist | 2325 18th St Ste 220, Columbus, IN 47201-5389 | 2006-08-19 |
| 1265546725 | Michael J Dorenbusch | Specialist | 2325 18th St Ste 220, Columbus, IN 47201-5389 | 2006-08-19 |
| 1689788150 | David M Thompson | Specialist | 2325 18th St Ste 220, Columbus, IN 47201-5389 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| Find all providers in zip 47201 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1972033413 | Baker Surgical Services | Surgery | 6127 Goodwin Dr, Columbus, GA 31909-4338 | 2017-06-18 |
| 1043691702 | Maegan Kellie Garcia Lazaga | Surgery | 235 W 12th Ave Rm 414, Columbus, OH 43210-1303 | 2015-06-17 |
| 1861819310 | Ryan Albert John Campagna | Surgery | 191 W 8th Ave, Columbus, OH 43201-2311 | 2014-03-22 |
| 1578908901 | Jodi Marie Oostra | Surgery | 500 Thomas Ln Ste 2b, Columbus, OH 43214-1419 | 2013-04-29 |
| 1538416144 | Aliyah Kanji | Surgery | 4830 Kinghtsbridge Boulevard, Suite J, Columbus, OH 43214 | 2012-08-14 |
| 1598029969 | James Bradley Beckham | Surgery | 255 Baptist Blvd Ste 307, Columbus, MS 39705-2006 | 2012-06-29 |
| 1043500846 | Kara Keplinger Rossfeld | Surgery | 285 E State St Ste 300, Columbus, OH 43215-4357 | 2011-04-13 |
| 1467772368 | Courtney Collins | Surgery | 181 Taylor Ave Ste 1102, Columbus, OH 43203 | 2010-06-03 |
| 1568793164 | John David Lipson | Surgery | 12945 E 100 N, Columbus, IN 47203-9601 | 2010-01-20 |
| Find all providers in COLUMBUS | ||||
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| 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.