DENISE MICHELLE BURROUGHS (NPI# 1093979270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093979270 |
| Entity Type | Individual |
| Full Name | DENISE MICHELLE BURROUGHS |
| Credential | PA-C |
| Practice Address |
5135 S Penn Ave Lansing MI 48911-4002 |
| Mailing Address |
3121 Rayborn Dr Lansing MI 48911-1444 |
| Practice Telephone | 5178875922 |
| Mailing Telephone | 5178822832 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601003528 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5135 S PENN AVE |
| City | LANSING |
| State | MI |
| Zip Code | 48911-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943603 | Promissa Personalized Care Services LLC | Assisted Living Facility | 200 E Edgewood Blvd, Lansing, MI 48911 | 2020-05-07 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1447713946 | Fadi Nuseibeh | Pharmacist | 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 | 2019-04-11 |
| 1740704543 | Kyle Lardie | Dental Hygienist | Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 | 2017-08-02 |
| 1124549845 | Joash Michael Charles | Behavior Technician | 3720 Richmond Street, Lansing, MI 48911 | 2017-07-03 |
| 1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
| 1376927608 | Heather Lamb | Home Health | 2919 Risdale St, Lansing, MI 48911 | 2015-07-16 |
| 1669861712 | Lucas James Evan Joseph Bila | Licensed Practical Nurse | 2204 S. Wadsworth Dr, Lansing, MI 48911 | 2015-01-13 |
| 1649695271 | Aaron James Hart | Occupational Therapist | 3960 Patient Care Dr Ste 117, Lansing, MI 48911 | 2014-02-18 |
| 1831465871 | Los Equipment Corporation | Dentist | 6810 S. Cedar St, Suite 5, Lansing, MI 48911 | 2012-03-23 |
| Find all providers in zip 48911 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144479148 | Michelle Gormas | Physician Assistant | 2722 E Michigan Ave, Lansing, MI 48912-4037 | 2008-09-15 |
| 1366580417 | George Roland Over | Physician Assistant | 1115 S Pennsylvania Ave, Lansing, MI 48912-1669 | 2007-02-01 |
| 1831278092 | Anne Margaret Teremi | Physician Assistant | 4202 Collins Rd, Suite 115, Lansing, MI 48910-5894 | 2006-11-06 |
| 1700832987 | Kellie Marie Wells | Physician Assistant | 1200 E Michigan Ave Ste 415, Lansing, MI 48912-1897 | 2006-05-26 |
| 1780648667 | Walter Herbert Grumbt | Physician Assistant | 129 Brookwood Ct, Lansing, KS 66043-1557 | 2006-04-17 |
| 1841299617 | J Charles Elliott | Physician Assistant | 416 S Creyts Rd, Lansing, MI 48917-8290 | 2005-07-14 |
| 1013568500 | Elizabeth K Holsclaw | Physician Assistant | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-09-25 |
| 1194288720 | Adriana Maria Ledesma | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2019-04-10 |
| 1043745730 | Degara App Hm, Pllc | Physician Assistant | 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 2017-05-01 |
| 1770018269 | Kaitlyn Haley Kimmel | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2017-04-22 |
| Find all providers in LANSING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.