Active NPI
Mariah Siarkowski, HIS
- Hearing Instrument Specialist
- Mequon, WI
National Provider Identifier
1033945589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2076-60
- Practice address
- 11030 N Port Washington Rd
Mequon, WI 53092-5009 - Phone
- (262) 240-0288
- NPI assigned
- Sep 11, 2024
- Last updated
- Sep 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2076-60 | WI | Primary |
Addresses
Primary practice location
11030 N Port Washington Rd
Mequon, WI 53092-5009
Mailing address
11030 N Port Washington Rd
Mequon, WI 53092-5009
Phone (262) 240-0288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2076-60 | WI | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warhawk Ventures Inc. | Hearing Instrument Specialist | Current | Accepting new patients |
| Audiology Services Company USA, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
| Rem Audiology Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hear Again America
- Hearing Instrument Specialist
- Sheboygan Falls, WI
- NPI 1851249387
-
dba Hearinglife
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Hearing Instrument Specialist
-
- Audiologist-Hearing Aid Fitter
- Philadelphia, PA
- NPI 1124072665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1033945589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11030 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925009",
"telephone_number": "262-240-0288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11030 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925009",
"telephone_number": "262-240-0288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIARKOWSKI",
"first_name": "MARIAH",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WI",
"license": "2076-60",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.