MORTENSEN AUDIOLOGY CLINICS, LLC (NPI# 1851343552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851343552 |
| Entity Type | Organization |
| Organization Name | MORTENSEN AUDIOLOGY CLINICS, LLC |
| Other Organization Name | SONUS SF 0001 |
| Practice Address |
W186n9523 Bancroft Dr Menomonee Falls WI 53051-8009 |
| Mailing Address |
5000 Cheshire Pkwy N Plymouth MN 55446-4103 |
| Practice Telephone | 2625023570 |
| Practice Fax Number | 2625023572 |
| Mailing Telephone | 8885100766 |
| Mailing Fax Number | 7632684017 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-03-16 |
| Authorized Official Name | DR. JOHN A MORTENSEN (OWNER/AUDIOLOGIST) |
| Authorized Official Telephone | 4147744200 |
| Authorized Official Credential | AU.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| SONUS SF 0001 | Doing Business As Name - Organization |
| Street Address |
W186N9523 BANCROFT DR |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051-8009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427348747 | Melissa Born | Rehabilitation Practitioner | W186n9523 Bancroft Dr, Menomonee Falls, WI 53051-8009 | 2011-04-08 |
| 1457593394 | Suzette M. Mineau | Audiologist | W186n9523 Bancroft Dr, Menomonee Falls, WI 53051-8009 | 2009-03-24 |
| 1548201866 | Michael Gitter | Hearing Instrument Specialist | W186n9523 Bancroft Dr, Menomonee Falls, WI 53051-8009 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1699329193 | Athletico Ltd | Physical Therapist | N88w15562 Main St, Menomonee Falls, WI 53051 | 2019-08-01 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1386027548 | Generations Family Dental Care Menomonee Falls, LLC | Dentist | N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 | 2015-07-07 |
| 1184007551 | Monjot Kaur Kang | Pharmacist | N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 | 2015-07-03 |
| 1417334038 | Costco Wholesale Corporation | Hearing Aid Equipment | 9235 Pershing Avenue, Menomonee Falls, WI 53051 | 2015-05-04 |
| Find all providers in zip 53051 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099204 | Gina Maree Briant | Audiologist-Hearing Aid Fitter | 4237 Lien Rd Ste J, Madison, WI 53704-3686 | 2019-05-24 |
| 1225452857 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 310 N Brown St, Rhinelander, WI 54501-3103 | 2014-02-18 |
| 1518395136 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 654 W Ridgeview Dr Ste 2, Appleton, WI 54911-1254 | 2013-10-16 |
| 1629321393 | Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | 598 Grand Canyon Dr, Madison, WI 53719-1033 | 2012-10-18 |
| 1134493067 | Phillip Norman Heistad | Audiologist-Hearing Aid Fitter | 1226 Lake St, White Lake, WI 54491-9750 | 2012-02-23 |
| 1093009870 | David John Beutel | Audiologist-Hearing Aid Fitter | 776 Dundee Ave, River Falls, WI 54022-5795 | 2011-06-08 |
| 1033349287 | Neve Inc | Audiologist-Hearing Aid Fitter | 1418 Tower Ave, #5, Superior, WI 54880-1557 | 2009-07-22 |
| 1770733404 | Sheree R Anderson | Audiologist-Hearing Aid Fitter | 1615 Center Ave, Janesville, WI 53546-2819 | 2008-09-30 |
| 1104081058 | Karen Malovrh | Audiologist-Hearing Aid Fitter | 10520 North Port Washington Rd, Mequon, WI 53092-5537 | 2008-07-21 |
| 1821258831 | Christine Anne Erickson | Audiologist-Hearing Aid Fitter | 1300 Judd Rd, Oregon, WI 53575-2553 | 2008-06-12 |
| Find all providers with the same taxonomy | ||||
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.