Organization Active NPI

Associated Hearings & Diagnostics

  • Audiologist
  • Richlands, VA
National Provider Identifier
1053402750
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001303 Issued in VA
Legal business name
ASSOCIATED HEARINGS & DIAGNOSTICS
Practice address
6719 Governor GC Peery Hwy Ste 2500
Richlands, VA 24641-2489
Phone
(276) 964-7465
Fax
(276) 963-3507
NPI assigned
Sep 27, 2006
Last updated
Mar 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Michelle Annette Varney
Title
Business Manager
Phone
(276) 964-7465

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001303 VA Primary
Hearing Instrument Specialist 237700000X 2102002260 VA

Addresses

Primary practice location

6719 Governor GC Peery Hwy Ste 2500
Richlands, VA 24641-2489

Mailing address

6719 Governor GC Peery Hwy Ste 2500
Richlands, VA 24641-2489
Phone (276) 964-7465

Other identifiers 3

IdentifierTypeStateIssuer
C05399OtherVAMEDICARE PTAN
009100008OtherVAVIRGINIA MEDICAID
3810005010MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040816000885 VA Part B Supplier - Clinic/Group Practice 7214900554 Receives reassigned benefits from 1 practitioner
Practice locations: Richlands, VA

National Provider Directory

National Provider Directory
Tax ID family
Associated Hearing Diagnostics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1121 E Fincastle Tpke
North Tazewell, VA 24630
Phone (540) 979-5111

6719 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 596-6778

613 Main St
Tazewell, VA 24651

677 Main St
Tazewell, VA 24651
Phone (276) 385-7381

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1053402750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 GOVERNOR GC PEERY HWY STE 2500",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412489",
            "telephone_number": "276-964-7465",
            "fax_number": "276-963-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 GOVERNOR GC PEERY HWY STE 2500",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412489",
            "telephone_number": "276-964-7465",
            "fax_number": "276-963-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED HEARINGS & DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "VARNEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "276-964-7465"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001303",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2102002260",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C05399",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA MEDICAID",
            "identifier": "009100008",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005010",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.