Active NPI
John R. Burroughs MD PC
- Ophthalmology Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 44251
- Legal business name
- JOHN R. BURROUGHS MD PC
- Practice address
- 300 Garden of the Gods
Ste. 100
Colorado Springs, CO 80907 - Phone
- (719) 473-8801
- Fax
- (719) 473-8581
- NPI assigned
- Nov 20, 2007
- Last updated
- Nov 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John R Burroughs, MD
- Title
- Owner
- Phone
- (719) 473-8801
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 44251 | CO | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 44251 | CO |
Addresses
Primary practice location
300 Garden of the Gods
Ste. 100
Colorado Springs, CO 80907
Mailing address
300 Garden of the Gods
Ste. 100
Colorado Springs, CO 80907-6267
Phone (719) 473-8801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
300 Garden of the Gods Rd
Ste 10
Colorado Springs, CO 80907
300 Garden of the Gods Rd
Ste 100
Colorado Springs, CO 80907
Phone (719) 473-8801
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Colorado Springs, CO
- NPI 1003866484
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574121600000",
"number": "1346421179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 GARDEN OF THE GODS",
"address_2": "STE. 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076267",
"telephone_number": "719-473-8801",
"fax_number": "719-473-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GARDEN OF THE GODS",
"address_2": "STE. 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "719-473-8801",
"fax_number": "719-473-8581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN R. BURROUGHS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-20",
"last_updated": "2019-11-19",
"status": "A",
"authorized_official_last_name": "BURROUGHS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-473-8801",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CO",
"license": "44251",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CO",
"license": "44251",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.