Doctors of Hearing Healthcare East, LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

DOCTORS OF HEARING HEALTHCARE EAST, LLC

Doing business as

Doctors of Hearing Healthcare

Practice address

5063 Shoreline Rd
Lake Barrington, IL 60010-1700

Phone

(847) 382-6010

NPI assigned

Aug 28, 2023

Organization subpart

Yes

Parent organization

LAWRENCE CLAYTON & ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Bryan Earl Tackaberry

Title

Owner

Phone

(815) 509-9898

Specialties & licenses 4

Addresses

Other names 1

• Doctors of Hearing Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Part of

Lawrence Clayton Associate

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lawrence Clayton & Associates, LLC

  • Audiologist-Hearing Aid Fitter
  • Rockford, IL
  • NPI 1659552701
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corrine Koepsell-Roth, AUD

  • Audiologist
  • Rockford, IL
  • NPI 1831762202
  Medicare reassignment NPD
• Leigh Ann Tackaberry, M.A., F-AAA

  • Audiologist-Hearing Aid Fitter
  • Rockford, IL
  • NPI 1316053523
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1053196360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N MULFORD RD STE 10",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075100",
            "telephone_number": "181-539-9527",
            "fax_number": "815-399-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5063 SHORELINE RD",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600101700",
            "telephone_number": "847-382-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS OF HEARING HEALTHCARE EAST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAWRENCE CLAYTON & ASSOCIATES, LLC",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A",
        "authorized_official_last_name": "TACKABERRY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-509-9898"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors of Hearing Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David J Crandall, M.D.
• Jennifer Cunningham
• Andrea T Dellaria, MD
• Dena Denny Physical Therapy
• Dena Kristine Denny, P.T.
• Krystyna Elmer, LCPC
• Nichole Erhardt
• Family Practice Specialist SC
• Jeffrey S. Farbman, M.D.
• Richard J Ferolo, MD

• Audiologist in Lake Barrington, IL
• Providers in Lake Barrington, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.