Organization Active NPI

Dr. Ridhu C. Burton MD PC

  • Allergy & Immunology Physician
  • Lansing, MI
National Provider Identifier
1639352115
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
JS022073 Issued in MI
Legal business name
DR. RIDHU C. BURTON MD PC
Practice address
4169 Legacy Pkwy
Lansing, MI 48911-4200
Phone
(517) 394-6500
Fax
(517) 393-4202
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Laurie Marie Cassady
Title
Billing Manager
Phone
(517) 394-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X JS022073 MI Primary

Addresses

Primary practice location

4169 Legacy Pkwy
Lansing, MI 48911-4200

Mailing address

4169 Legacy Pkwy
Lansing, MI 48911-4200
Phone (517) 394-6500

Other identifiers 1

IdentifierTypeStateIssuer
4703626MedicaidMI

Other names 1

  • Allergy & Asthma Consultants of Mid-MI Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1639352115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 LEGACY PKWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114200",
            "telephone_number": "517-394-6500",
            "fax_number": "517-393-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 LEGACY PKWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114200",
            "telephone_number": "517-394-6500",
            "fax_number": "517-393-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RIDHU C. BURTON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "CASSADY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "517-394-6500"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "JS022073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4703626",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & Asthma Consultants of Mid-MI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.