Susanna R Burkhead, MD

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

01066004A Issued in IN

Practice address

3700 Washington Avenue
Evansville, IN 47750-0001

Phone

(812) 485-4000

NPI assigned

Sep 8, 2005

Last updated

Sep 30, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1962496661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 359",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477030359",
            "telephone_number": "812-485-1220",
            "fax_number": "812-485-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVENUE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477500001",
            "telephone_number": "812-485-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHEAD",
        "first_name": "SUSANNA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "IN",
            "license": "01066004A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200978080",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100111320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Burke, PT
• Amy Burkett, FNP
• Bryant Parker Burkett, D.D.S.
• Emily R Burkett, NP
• Sydney C Burkhart, PA-C
• Hope Burkins
• John Michael Burnley, MD
• Carolyn Sue Burns, RD
• Mary Eugenia Burns, PSY.D
• Megan Elizabeth Burns, DPT

• Pediatric Critical Care Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Pediatric Critical Care Medicine Physician in Indiana

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