CASSAUNDRA BURT (NPI# 1508420605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508420605 |
| Entity Type | Individual |
| Full Name | CASSAUNDRA BURT |
| Credential | MD |
| Practice Address |
28050 Grand River Ave Farmington Hills MI 48336-5919 |
| Practice Telephone | 9475217393 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4351046019 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 Delaware St Se, Minneapolis, MN 554550341 | 6126262935 |
| Street Address |
28050 GRAND RIVER AVE |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-5919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811662 | Jyothsna Yalavarthi | Internal Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2005-06-20 |
| 1649895848 | Tehreem Sajjad | Podiatrist | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-12 |
| 1700401064 | Anthony Ibrahim | Pharmacy | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-12 |
| 1700401155 | Darlene Pham | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-11 |
| 1497370050 | Lawrence Jajou | Orthopaedic Surgery | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-10 |
| 1548885072 | Ricardo Hernandez | Orthopaedic Surgery | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-10 |
| 1669096335 | Krystle Gish | Family Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-29 |
| 1588288278 | Jordan Matthew Correll | Family Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-29 |
| 1053934760 | Brandon Baroff | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-28 |
| 1912520651 | Aaron W Hess | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341198 | Kelcy L Welch | Obstetrics & Gynecology | 30445 Northwestern Hwy Ste 140, Farmington Hills, MI 48334-3174 | 2020-06-25 |
| 1578944716 | Jenha Leann-muir Dargin | Obstetrics & Gynecology | 28100 Grand River Ave Ste 306s, Farmington Hills, MI 48336-5970 | 2015-06-13 |
| 1770997629 | Caitlyn Lee Klaska | Obstetrics & Gynecology | 28555 Orchard Lake Rd Ste 120, Farmington Hills, MI 48334 | 2014-06-19 |
| 1922246057 | Charlene V. Williams Md PC | Obstetrics & Gynecology | 24622 Adams Ct, Farmington Hills, MI 48335-1800 | 2009-01-28 |
| 1295957926 | Kimberly Dwan Moore | Obstetrics & Gynecology | 30055 Northwestern Hwy Ste 270, Farmington Hills, MI 48334-3240 | 2007-05-03 |
| 1891739116 | Judith A Joslin-page | Obstetrics & Gynecology | 35125 Grand River Ave, Farmington Hills, MI 48335-3211 | 2006-06-16 |
| 1730138173 | Joseph Berenholz | Obstetrics & Gynecology | 30445 Northwestern Hwy Ofc 100, Farmington Hills, MI 48334-3168 | 2006-05-10 |
| 1629048772 | Kamlesh Kumari-lobo | Obstetrics & Gynecology | 24353 Orchard Lake Rd, Suite E, Farmington Hills, MI 48336-1917 | 2006-01-23 |
| 1972587475 | James E Labes | Obstetrics & Gynecology | 28555 Orchard Lake Rd, Ste 120, Farmington Hills, MI 48334 | 2005-11-30 |
| 1225029473 | Laura H Gruskin | Obstetrics & Gynecology | 34505 W 12 Mile Rd, Ste 195, Farmington Hills, MI 48331-3258 | 2005-11-04 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48336 |
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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.