NPIMap

Organization Active NPI

Laurence S Burdett MD PC

  • Anesthesiology Physician
  • Ogden, UT
National Provider Identifier
1386010098
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
3404331205 Issued in UT
Legal business name
LAURENCE S BURDETT MD PC
Practice address
3480 Washington Blvd Ste 105
Ogden, UT 84401-4149
Phone
(801) 392-0385
Fax
(801) 393-3334
NPI assigned
Aug 17, 2015
Last updated
Aug 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurence S Burdett, MDNPI 1467454918
Title
Owner
Phone
(801) 458-2073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 3404331205 UT Primary

Addresses

Primary practice location

3480 Washington Blvd Ste 105
Ogden, UT 84401-4149

Mailing address

PO Box 837
Ogden, UT 84402-0837
Phone (801) 392-0402

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1386010098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844020837",
            "telephone_number": "801-392-0402",
            "fax_number": "801-393-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 WASHINGTON BLVD STE 105",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844014149",
            "telephone_number": "801-392-0385",
            "fax_number": "801-393-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE S BURDETT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "BURDETT",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-458-2073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "3404331205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.