Active NPI
MD Medical Writing, LLC
- Hematology & Oncology Physician
- Enfield, CT
National Provider Identifier
1891840138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 030948
- Legal business name
- MD MEDICAL WRITING, LLC
- Practice address
- 15 Palomba Dr
Suite 11
Enfield, CT 06082-3853 - Phone
- (860) 265-2655
- Fax
- (860) 265-2699
- NPI assigned
- Jan 25, 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
- Dr. Susan Faye Burroughs, MD
- Title
- President
- Phone
- (860) 265-2655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 030948 | CT | Primary |
Addresses
Primary practice location
15 Palomba Dr
Suite 11
Enfield, CT 06082-3853
Mailing address
15 Palomba Dr
Suite 11
Enfield, CT 06082-3853
Phone (860) 265-2655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF6688 | Other | RAIL ROAD MEDICARE |
Other names 1
- Susan F Burroughs M.D.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320364800000",
"number": "1891840138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PALOMBA DR",
"address_2": "SUITE 11",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823853",
"telephone_number": "860-265-2655",
"fax_number": "860-265-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PALOMBA DR",
"address_2": "SUITE 11",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823853",
"telephone_number": "860-265-2655",
"fax_number": "860-265-2699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD MEDICAL WRITING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2011-11-04",
"status": "A",
"authorized_official_last_name": "BURROUGHS",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "FAYE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-265-2655",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CT",
"license": "030948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DF6688",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Susan F Burroughs M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.