Organization Active NPI

MD Medical Writing, LLC

  • Hematology & Oncology Physician
  • Enfield, CT
National Provider Identifier
1891840138
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
030948 Issued in CT
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

Updated by the provider on Nov 4, 2011

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)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DF6688OtherRAIL ROAD MEDICARE

Other names 1

  • Susan F Burroughs M.D. Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.