Organization Active NPI

John J Burroughs MD PC

  • Family Medicine Physician
  • Monroe, MI
National Provider Identifier
1750414306
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOHN J BURROUGHS MD PC
Practice address
2200 N Monroe St
Monroe, MI 48162-4254
Phone
(734) 241-3543
Fax
(734) 241-4726
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Mr. John J Burroughs, M.D.
Title
President
Phone
(734) 241-3543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2200 N Monroe St
Monroe, MI 48162-4254

Mailing address

2200 N Monroe St
Monroe, MI 48162-4254
Phone (734) 241-3543

Other identifiers 2

IdentifierTypeStateIssuer
00581292OtherMIBCBSM
JB022044OtherMILICENSE #

National Provider Directory

National Provider Directory

Locations

2200 N Monroe St
Monroe, MI 48162
Phone (313) 243-0220

745 N Monroe St
Monroe, MI 48162
Phone (734) 241-3543

745 N Monroe St
Monroe, MI 48162
Phone (734) 241-3543

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1750414306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624254",
            "telephone_number": "734-241-3543",
            "fax_number": "734-241-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624254",
            "telephone_number": "734-241-3543",
            "fax_number": "734-241-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J BURROUGHS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-241-3543",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "00581292",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "JB022044",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.