Individual provider Active NPI

Philip Salamander, M.A., CCC-A

  • Audiologist
  • Martinsville, IN
National Provider Identifier
1003847765
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
455 Issued in IN
Practice address
990 S Marion St
Martinsville, IN 46151-2438
Phone
(765) 342-5497
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 455 IN Primary

Addresses

Primary practice location

990 S Marion St
Martinsville, IN 46151-2438

Mailing address

403 Painted HLS
Martinsville, IN 46151-8678
Phone (765) 342-2568

Other identifiers 1

IdentifierTypeStateIssuer
100183960AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
455INMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crosstown Eyecare LLC PastSince Dec 29, 2018 Accepting new patients
Crosstown Optical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003847765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PAINTED HLS",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461518678",
            "telephone_number": "765-342-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 S MARION ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461512438",
            "telephone_number": "765-342-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMANDER",
        "first_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100183960A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.