Active NPI
Dr. Ridhu C. Burton MD PC
- Allergy & Immunology Physician
- Lansing, MI
National Provider Identifier
1639352115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- JS022073
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4703626 | Medicaid | MI |
Other names 1
- Allergy & Asthma Consultants of Mid-MI
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical & Laboratory Immunology (Allergy & Immunology) Physician
- Lansing, MI
- NPI 1497735310
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.