MR. JONATHAN LYNDELL BURT (NPI# 1740302025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740302025 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN LYNDELL BURT |
| Credential | LMT |
| Practice Address |
20966 Grand River Ave Detroit MI 48219-3937 |
| Practice Telephone | 3132554070 |
| Mailing Telephone | 3132554070 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | BUS2002-01531 | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215421805 | Jonathan Burt | Internal Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2018-06-18 |
| 1447608807 | Jonathan Burt | Optometrist | 5303 Glenway Ave, Cincinnati, OH 45238-3706 | 2016-05-26 |
| Street Address |
20966 GRAND RIVER AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689172553 | Senora King | Specialist | 7824 Artesian St, Detroit, MI 48228-3376 | 2018-01-25 |
| 1134526437 | Pierre E Vinson | Specialist | 200 Mount Elliott St Ste 111, Detroit, MI 48207-4466 | 2014-12-02 |
| 1316348865 | Lamika Riley | Specialist | 18320 W Mcnichols Rd, Detroit, MI 48219-4162 | 2014-09-15 |
| 1659622017 | Extraordinary Medical Billing&consultant Services | Specialist | 19964 Rogge St, Detroit, MI 48234-3031 | 2012-09-26 |
| 1144588450 | Jessica Jensine Noles | Specialist | 14211 Northlawn St, Detroit, MI 48238-2434 | 2012-04-25 |
| 1770803496 | Cassandra Boggon | Specialist | 16203 Wyoming St, Detroit, MI 48221-3417 | 2010-06-03 |
| 1104089499 | Muwaffak Mohammad Abdulhak | Specialist | 2799 West Grand Blvd. K-11, Henry Ford Hospital, Detroit, MI 48202 | 2008-07-07 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1962674028 | House-call Service, Inc. | Specialist | 19455 Kentfield St, Detroit, MI 48219-2013 | 2008-03-29 |
| 1558530030 | Samir R. Yahia Md,p.c | Specialist | 22151 Moross Rd Bldg 1, Suite 335, Detroit, MI 48236-2167 | 2008-02-28 |
| Find all providers in DETROIT | ||||
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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.