DR. MARY JO BURTKA (NPI# 1043460736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043460736 |
| Entity Type | Individual |
| Full Name | DR. MARY JO BURTKA |
| Credential | AU.D. |
| Practice Address |
2799 West Grand Blvd. Audiology, K-8 Henry Ford Hospital Detroit MI 48202 |
| Mailing Address |
36221 Trenton Ct Farmington Hills MI 48335-1270 |
| Practice Telephone | 3139163283 |
| Mailing Telephone | 2484732531 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1601000264 | MI | Speech, Language and Hearing Service Providers |
| Street Address |
2799 WEST GRAND BLVD. AUDIOLOGY, K-8 HENRY FORD HOSPITAL |
| City | DETROIT |
| State | MI |
| Zip Code | 48202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821182304 | Abeer A. Twal | Pharmacist | 2799 West Grand Blvd., Detroit, MI 48202 | 2006-10-02 |
| 1467852863 | Andrea Celia Brzys | Nurse Practitioner | 2799 West Grand Blvd., K-8 Department of General Surgery, Detroit, MI 48202 | 2014-09-04 |
| 1407297153 | Robinetta Elizabeth Armstrong | Nurse Practitioner | 2799 West Grand Blvd., Detroit, MI 48202 | 2013-07-10 |
| 1275830812 | Tania Lyn Newman | Nurse Practitioner | 2799 West Grand Blvd., Detroit, MI 48202 | 2011-02-17 |
| 1548383276 | Tricia Lynn Stein | Internal Medicine | 2799 West Grand Blvd., Henry Ford Hospital, Detroit, MI 48202 | 2007-04-09 |
| 1316015852 | Errol M. Zimmerman | Internal Medicine | 2799 West Grand Blvd., Detroit, MI 48202 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1487059325 | Lions Hearing Center of Michigan | Audiologist | 1326 St. Antoine, Detroit, MI 48226 | 2014-11-04 |
| 1992113104 | Shelly Shelton | Audiologist | 600 Arden Park Blvd, Detroit, MI 48202 | 2014-07-31 |
| 1619315868 | Sonya Veronica Ellis | Audiologist | 3162 E Lafayette St, Detroit, MI 48207-4378 | 2013-06-10 |
| 1104058015 | Ashley Marie Deeb | Audiologist | 2799 W Grand Blvd Dept Of, Detroit, MI 48202-2608 | 2009-08-12 |
| 1871729731 | Dmc Billing Associates, LLC | Audiologist | 3990 John R St Ste 1702, Detroit, MI 48201-2018 | 2009-06-05 |
| 1750432373 | Randall George Barden | Audiologist | 4 E Alexandrine St, Detroit, MI 48201-2031 | 2007-01-12 |
| 1063561660 | Deaf,hearing, and Sign Language Center Inc. | Audiologist | 19185 Wyoming St, Detroit, MI 48221-3219 | 2007-01-10 |
| 1124640123 | Nicole Lynn Greenwalt | Audiologist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-05-12 |
| 1639731847 | Samantha Sue Panning | Audiologist | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2019-07-08 |
| Find all providers in DETROIT | ||||
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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.