Mary Jo Burtka, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000264 Issued in MI

Practice address

2799 West Grand Blvd.
Audiology, K-8 Henry Ford Hospital
Detroit, MI 48202

Phone

(313) 916-3283

NPI assigned

Sep 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1043460736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36221 TRENTON CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351270",
            "telephone_number": "248-473-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 WEST GRAND BLVD.",
            "address_2": "AUDIOLOGY, K-8 HENRY FORD HOSPITAL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48202",
            "telephone_number": "313-916-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTKA",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brennan Burrows
• Vanessa Margaret Burrows, MA, TLLP
• Sharta Burston
• Jessica Evita Burt, LLMSW
• Jonathan Lyndell Burt, LMT
• Lakisha Jeanette Burton Willis, MBA, M.D.
• Angela Nicole Burton, NNP-BC
• Brenda Burton, CNP
• Brian Keith Burton II
• Demarco A Burton

• Audiologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.