Susan Burge DO SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036119873 Issued in IL

Legal business name

SUSAN BURGE DO SC

Practice address

111 S State St
Beardstown, IL 62618-1217

Phone

(217) 323-9703

Fax

(217) 323-9706

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Susan J Burge, DO

Title

Physician

Phone

(217) 323-9703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1316222557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S STATE ST",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626181217",
            "telephone_number": "217-323-9703",
            "fax_number": "217-323-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S STATE ST",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626181217",
            "telephone_number": "217-323-9703",
            "fax_number": "217-323-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN BURGE DO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "BURGE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "217-323-9703",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lee Smith, BA,JD
• Larissa Sorrells
• Megan Marie Stocker, BA
• Danielle Renee Suhre
• April Summers
• Megan Renae Swan, BS, QIDP
• Kathleen A Taapken, MA, LCPC, CADC
• Ernest Tanner, DC
• Kayla Trenter, MHP
• Neamonia Trotter, MA,QMHP

• Family Medicine Physician in Beardstown, IL
• Providers in Beardstown, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.