Active NPI
Haviland Hearing AIDS Inc.
- Audiologist
- Appleton, WI
National Provider Identifier
1003947748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 359 156
- Legal business name
- HAVILAND HEARING AIDS INC.
- Practice address
- 1336 E Wisconsin Ave
Appleton, WI 54911-3969 - Phone
- (920) 733-7525
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter John Zellmer, M.S. CCC-A
- Title
- President
- Phone
- (920) 733-7525
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 359 156 | WI | Primary |
Addresses
Primary practice location
1336 E Wisconsin Ave
Appleton, WI 54911-3969
Mailing address
1336 E Wisconsin Ave
Appleton, WI 54911-3969
Phone (920) 733-7525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42857800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070316000171 | WI | Part B Supplier - Clinic/Group Practice | 6002919826 |
Receives reassigned benefits from 2 practitioners Practice locations: Appleton, WI |
National Provider Directory
National Provider DirectoryLocations
1336 E Wisconsin Ave
Appleton, WI 54911
Phone (920) 733-7525
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Appleton, WI
- NPI 1023153251
-
- Hearing Instrument Specialist
- Appleton, WI
- NPI 1861369852
-
- Hearing Instrument Specialist
- Appleton, WI
- NPI 1326248360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003947748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 E WISCONSIN AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113969",
"telephone_number": "920-733-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1336 E WISCONSIN AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113969",
"telephone_number": "920-733-7525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVILAND HEARING AIDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZELLMER",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-733-7525",
"authorized_official_credential": "M.S. CCC-A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "WI",
"license": "359 156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42857800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.