Active NPI
Tatum Elyse Burdo, MD, MPH
- Student in an Organized Health Care Education/Training Program
- Bu, NY
National Provider Identifier
1306584891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 184 Barton Street
Jericho Road/Buffalo General Medical Center
Bu, NY 14213 - Phone
- (716) 881-6191
- NPI assigned
- May 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
184 Barton Street
Jericho Road/Buffalo General Medical Center
Bu, NY 14213
Mailing address
184 Barton Street
Jericho Road/Buffalo General Medical Center
Bu, NY 14213
Phone (716) 881-6191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1306584891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 BARTON STREET",
"address_2": "JERICHO ROAD/BUFFALO GENERAL MEDICAL CENTER",
"city": "BU",
"state": "NY",
"postal_code": "14213",
"telephone_number": "716-881-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 BARTON STREET",
"address_2": "JERICHO ROAD/BUFFALO GENERAL MEDICAL CENTER",
"city": "BU",
"state": "NY",
"postal_code": "14213",
"telephone_number": "716-881-6191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDO",
"first_name": "TATUM",
"middle_name": "ELYSE",
"name_prefix": "Mrs.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-24",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.