Individual provider Active NPI

Thomas Patrick Roeske

  • Hearing Instrument Specialist
  • Rochester, MI
National Provider Identifier
1033774302
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3501008994 Issued in MI
Practice address
1235 N Main St Ste 120
Rochester, MI 48307-1187
Phone
(248) 656-9516
NPI assigned
May 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 3501008994 MI Primary

Addresses

Primary practice location

1235 N Main St Ste 120
Rochester, MI 48307-1187

Mailing address

22777 Kelly Rd
Eastpointe, MI 48021-2036
Phone (586) 773-3300

Other identifiers 1

IdentifierTypeStateIssuer
1891845335OtherMINPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dyuhas@earphonicsinc.com

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

State licenses

LicenseStateTypeSpecialty
3501008994MIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Earphonics Inc Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 1

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1033774302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22777 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212036",
            "telephone_number": "586-773-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 N MAIN ST STE 120",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071187",
            "telephone_number": "248-656-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESKE",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501008994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891845335",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dyuhas@earphonicsinc.com",
            "affiliation": "N",
            "address_1": "1235 N Main St Ste 120",
            "city": "Rochester",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483071187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.