Mortensen Audiology Clinics, LLC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

MORTENSEN AUDIOLOGY CLINICS, LLC

Practice address

W186N9523 Bancroft Dr
Menomonee Falls, WI 53051-8009

Phone

(262) 502-3570

Fax

(262) 502-3572

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John A Mortensen, AU.D

Title

Owner/Audiologist

Phone

(414) 774-4200

Specialties & licenses 1

Addresses

Other names 1

• SONUS SF 0001 Doing business as

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1851343552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CHESHIRE PKWY N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464103",
            "telephone_number": "888-510-0766",
            "fax_number": "763-268-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W186N9523 BANCROFT DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530518009",
            "telephone_number": "262-502-3570",
            "fax_number": "262-502-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTENSEN AUDIOLOGY CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "414-774-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SONUS SF 0001",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• June Constantza Moldvan-Jacobs, MD
• James Michael Molthen, DDS
• Lucero Michelle Montalvo
• Yasmin Mendonca Moreira
• Tiffany Laura Mork, MD
• Timothy J Morton, M.D.
• Suzanne E. Moser, LCSW
• Kevin Moss, M.D.
• Susan G Mours, APNP
• Marissa Mowery, LCSW

• Audiologist-Hearing Aid Fitter in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Audiologist-Hearing Aid Fitter in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.