SUSANNA R BURKHEAD


Address: 3700 Washington Avenue, Evansville, IN 47750-0001
Phone: 8124854000

SUSANNA R BURKHEAD (NPI# 1962496661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962496661
Entity Type Individual
Full Name SUSANNA R BURKHEAD
Credential MD
Practice Address 3700 Washington Avenue
Evansville
IN 47750-0001
Mailing Address P O Box 359
Evansville
IN 47703-0359
Practice Telephone 8124854000
Mailing Telephone 8124851220
Mailing Fax Number 8124858544
Enumeration Date 2005-09-08
Last Update Date 2011-09-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
01066004A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100111320 05
IN 200978080 05

Office Location

Street Address 3700 WASHINGTON AVENUE
City EVANSVILLE
State IN
Zip Code 47750-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891281341 Claudia Ring Physical Therapist 3700 Washington Avenue, Evansville, IN 47750 2018-07-09
1073046819 Hashim Hussain Internal Medicine 3700 Washington Avenue, Evansville, IN 47750-4654 2017-04-08
1114237682 St Marys Ohio Valley Heartcare LLC Internal Medicine 3700 Washington Avenue, Evansville, IN 47714-0541 2010-10-18
1639114143 St. Mary's Physician Network LLC. Nurse Practitioner 3700 Washington Avenue, Evansville, IN 47750-0001 2006-06-18
1558316802 Robert M Franklin Pathology 3700 Washington Avenue, Evansville, IN 47750-0001 2006-05-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245270115 Philip J Kline Anesthesiology 370 Wasington Ave, St Marys Medical Center Anesthesea Dept, Evansville, IN 47750 2006-06-07
1649218108 Scott Hardigree Anesthesiology 3700 Wasington Ave, St Marys Medical Center Anesthesea Dept, Evansville, IN 47750 2006-06-04
1669705554 Sally Morton Clinical Nurse Specialist 3700 Washington Ave, Ste 1100, Evansville, IN 47750 2009-09-10
1437195500 Douglas John Doty Anesthesiology 3700 Washington Ave, St Marys Medical Center Anesthesia Dept, Evansville, IN 47750 2006-06-20
1346286416 Anthony L Funke Anesthesiology 3700 Washington Ave, St Marys Medical Center Anesthesia Dept, Evansville, IN 47750 2006-06-20
1255377321 Aaron T Gries Anesthesiology 3700 Washington Ave, St Marys Medical Center Anesthesia Dept, Evansville, IN 47750 2006-06-20
1720029721 Michael Drake Anesthesiology 3700 Washington Ave, St Mary's Medical Center Anesthesia Dept, Evansville, IN 47750 2006-06-09
1649211657 Michael J Malchioni Anesthesiology 3700 Washington Ave, St Mary's Medical Center Anesthesia Dept, Evansville, IN 47750 2006-06-09
1891736831 Timothy Eric Craig Anesthesiology 3700 Washington Ave, St Marys Medical Center Anesthesia Dept, Evansville, IN 47750 2006-06-09
1003856915 John M Myers Anesthesiology 3700 Washington Ave, St Marys Medical Center Anesthesia Dept, Evansville, IN 47750 2006-06-08
Find all providers in zip 47750

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922193184 Reuben Cohen Pediatrics 600 Mary St, Evansville, IN 47747-0001 2006-10-04
1427087188 Taveepong Terayanont Pediatrics 3700 Washington Ave, Evansville, IN 47714-0541 2006-07-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619219995 Casey Kathleen Mccluskey Pediatrics 705 Riley Hospital Dr Rm 5867, Pediatric Residency Program Indiana University Som, Indianapolis, IN 46202-5109 2013-03-25
1225169196 Pediatric Pulmonary & Critical Care, PC Pediatrics 7910 West Jefferson Blvd., Ste 205, Fort Wayne, IN 46804-4159 2007-03-09
1023198926 Pediatric Specialty Physicians, PC Pediatrics 7429 Inverness Commons, Fort Wayne, IN 46804-3837 2006-10-16
1336161868 Chandrashekhar Yalamanchali Pediatrics 11123 Parkview Plaza Dr Ste 202, Fort Wayne, IN 46845-1707 2006-07-24
1467408237 Beacon Medical Group, Inc. Pediatrics 615 N Michigan St Fl 5, South Bend, IN 46601 2006-05-25
1184012130 Hari Rasad Gourabathini Pediatrics 615 N Michigan St Fl 5, South Bend, IN 46601-1033 2014-12-29
1396001194 Michelle M Gombas Pediatrics 2001 W 86th St, Indianapolis, IN 46260-1902 2012-04-05
1972892958 Patrick J Noonan Pediatrics 7950 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804-4140 2011-03-30
1194954420 Paul William Halczenko Pediatrics 2001 W 86th St, Indianapolis, IN 46260-1902 2009-07-08
1922213057 Jiuann-huey Ivy Lin Pediatrics 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202-5109 2007-05-11
Find all providers with the same taxonomy

Competitor

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City EVANSVILLE
Zip Code 47750

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Dataset Information

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.

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