Individual provider Active NPI

Gerald August Hug Jr., MA CCC A

  • Audiologist
  • Plymouth, MI
National Provider Identifier
1023181955
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000233 Issued in MI
Practice address
705 S Main St
Suite 205
Plymouth, MI 48170-2089
Phone
(734) 451-0800
Fax
(734) 451-0813
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000233 MI Primary

Addresses

Primary practice location

705 S Main St
Suite 205
Plymouth, MI 48170-2089

Mailing address

705 S Main St
Suite 205
Plymouth, MI 48170-2089
Phone (734) 451-0800

Other identifiers 2

IdentifierTypeStateIssuer
540H208620OtherMIBCBS OF MI
640F326550OtherMIBCBS OF MI

Other names 1

  • Gerald Hug Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000293 MI Practitioner - Qualified Audiologist 9032219373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince Sep 23, 2018 Accepting new patients
Audiology Services Company USA, LLC Audiologist CurrentSince Sep 23, 2018 Accepting new patients

Locations

1052 Cleaver Rd
Caro, MI 48723
Phone (989) 673-2933

2046 S Cedar St
Imlay City, MI 48444
Phone (810) 721-7274

705 S Main St
Ste 205
Plymouth, MI 48170
Phone (734) 451-0800

705 S Main St
Ste 101
Plymouth, MI 48170
Phone (248) 356-7773

113 E Long Lake Rd
Ste B
Troy, MI 48085
Phone (248) 435-6811

4835 Haggerty Rd
West Bloomfield, MI 48323
Phone (248) 356-7773

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1023181955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST",
            "address_2": "SUITE 205",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702089",
            "telephone_number": "734-451-0800",
            "fax_number": "734-451-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST",
            "address_2": "SUITE 205",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702089",
            "telephone_number": "734-451-0800",
            "fax_number": "734-451-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUG",
        "first_name": "GERALD",
        "middle_name": "AUGUST",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA CCC A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "540H208620",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "640F326550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERALD",
            "last_name": "HUG",
            "credential": "MA CCC A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.