Active NPI
Linda Sue Burg, AU.D.
- Audiologist
- Milwaukee, WI
National Provider Identifier
1639221328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 9-156
- Practice address
- 9200 W Wisconsin Ave
Dept of Otolaryngology and Communication Sciences
Milwaukee, WI 53226-3522 - Phone
- (414) 805-5586
- Fax
- (414) 805-7936
- NPI assigned
- Jan 16, 2007
- Last updated
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 9-156 | WI | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Dept of Otolaryngology and Communication Sciences
Milwaukee, WI 53226-3522
Mailing address
1320 Two Rivers CT
Mukwonago, WI 53149-9546
Phone (414) 805-5586
Other practice location 1
119 E Bell St
Neenah, WI 54956-4993
Phone (920) 969-1768
Other practice location 2
3365 S 103rd St
Milwaukee, WI 53227-4161
Phone (414) 955-2600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639221328 | Medicaid | WI | |
| 41113700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1639221328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 TWO RIVERS CT",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531499546",
"telephone_number": "414-805-5586",
"fax_number": "414-805-7936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"address_2": "DEPT OF OTOLARYNGOLOGY AND COMMUNICATION SCIENCES",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-5586",
"fax_number": "414-805-7936"
}
],
"practiceLocations": [
{
"address_1": "119 E Bell St",
"address_purpose": "LOCATION",
"city": "Neenah",
"state": "WI",
"postal_code": "549564993",
"country_code": "US",
"telephone_number": "920-969-1768",
"fax_number": "920-969-1788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3365 S 103rd St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532274161",
"country_code": "US",
"telephone_number": "414-955-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURG",
"first_name": "LINDA",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "9-156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639221328",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41113700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.