Organization Active NPI

Petoskey Hearing Aid Center

  • Hearing Instrument Specialist
  • Petoskey, MI
National Provider Identifier
1003137365
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3501001479 Issued in MI
Legal business name
PETOSKEY HEARING AID CENTER
Practice address
1614 S US 131 S
Petoskey, MI 49770
Phone
(231) 347-2431
Fax
(231) 347-2431
NPI assigned
Jun 21, 2010
Last updated
Jun 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Mr. Michael Golas
Title
Owner
Phone
(231) 347-2431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 3501001479 MI Primary

Addresses

Primary practice location

1614 S US 131 S
Petoskey, MI 49770

Mailing address

1614 S US 131
Petoskey, MI 49770
Phone (231) 347-2431

Other identifiers 1

IdentifierTypeStateIssuer
903216678MedicaidMI

National Provider Directory

National Provider Directory

Locations

1614 US Highway 131
Petoskey, MI 49770
Phone (231) 347-2431

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1003137365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 S US 131",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-347-2431",
            "fax_number": "231-347-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 S US 131 S",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-347-2431",
            "fax_number": "231-347-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETOSKEY HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "GOLAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-347-2431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501001479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "903216678",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.