Sandra C Busz, APRN C

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

4704158582 Issued in MI

Practice address

536 S Illinois Ave
Gaylord, MI 49735-1752

Phone

(989) 731-0658

Fax

(989) 731-0681

NPI assigned

Jan 31, 2006

Last updated

Aug 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• William Kerr MD PC

  • Geriatric Medicine (Family Medicine) Physician
  • Gaylord, MI
  • NPI 1740479278
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1700857430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 S ILLINOIS AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351752",
            "telephone_number": "989-731-0658",
            "fax_number": "989-731-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 S ILLINOIS AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351752",
            "telephone_number": "989-731-0658",
            "fax_number": "989-731-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSZ",
        "first_name": "SANDRA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "APRN C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4704158582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4688270 10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BC",
            "identifier": "5008765110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Diettia Burns, RBT
• Megan Lucille Burroughs, D.O.
• Gretchen Marie Burrus, FNP
• Stacy Burzynski
• Tammy Busch
• Shawna Elizabeth Butler, PTA
• Steven Butwell, CADC
• Anne Buyze-Smith, LLPC
• McKenna Byrne
• Christina Bysiorek

• Geriatric Medicine (Family Medicine) Physician in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Geriatric Medicine (Family Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.