Organization Active NPI

Haviland Hearing AIDS Inc.

  • Audiologist
  • Appleton, WI
National Provider Identifier
1003947748
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
359 156 Issued in WI
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

Updated by the provider on Aug 22, 2020

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-ANPI 1023153251
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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
42857800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070316000171 WI Part B Supplier - Clinic/Group Practice 6002919826 Receives reassigned benefits from 2 practitioners
Practice locations: Appleton, WI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.