Burlen Family Practice and Wellness Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BURLEN FAMILY PRACTICE AND WELLNESS CENTER

Practice address

529 N Monroe St
Monroe, MI 48162-2932

Phone

(206) 932-9025

Fax

(206) 932-1929

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Laura Lile Burlen, MD

Title

Owner

Phone

(734) 240-1206

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristi Ann Simmons, ATC, MS PA-C

  • Physician Assistant
  • Monroe, MI
  • NPI 1548287246
  NPD (past)
• Elizabeth A Mayer, PA-C

  • Medical Physician Assistant
  • Perrysburg, OH
  • NPI 1528017076
  NPD (past)
• Mandy Ellen Thompson, PA-C

  • Physician Assistant
  • Denver, CO
  • NPI 1346283645
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1962621367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2061",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436032061",
            "telephone_number": "206-932-9025",
            "fax_number": "206-932-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622932",
            "telephone_number": "206-932-9025",
            "fax_number": "206-932-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLEN FAMILY PRACTICE AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "BURLEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-240-1206",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Burgess
• Monika Burkardt
• Patrick Burkardt, DDS
• Breann Burkey
• Angela Burkholder, PA
• Jennifer Burrous
• Corey Bursztynski
• Heather K Bush
• William Busso, CRNA
• Amal Butler, MSW

• Family Medicine Physician in Monroe, MI
• Providers in Monroe, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.