Active NPI
Ron J. Leavitt, AU.D.
- Audiologist
- Corvallis, OR
National Provider Identifier
1053430397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 20698
- Practice address
- 975 NW Spruce Ave Ste 102
Corvallis, OR 97330-2297 - Phone
- (541) 754-1377
- Fax
- (541) 754-9192
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 20698 | OR | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 20698 | OR |
Addresses
Primary practice location
975 NW Spruce Ave Ste 102
Corvallis, OR 97330-2297
Mailing address
475 I St
Independence, OR 97351-1820
Phone (503) 838-2838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20698 | OR | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Assistance Technology, Inc. | Audiologist | Current | Accepting new patients |
Locations
975 NW Spruce Ave
Ste 102
Corvallis, OR 97330
Phone (541) 738-8727
1025 NW 9th St
Ste D
Corvallis, OR 97330
Phone (541) 754-1377
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.
-
- Audiologist
- Corvallis, OR
- NPI 1982984662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1053430397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 I ST",
"city": "INDEPENDENCE",
"state": "OR",
"postal_code": "973511820",
"telephone_number": "503-838-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 NW SPRUCE AVE STE 102",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973302297",
"telephone_number": "541-754-1377",
"fax_number": "541-754-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVITT",
"first_name": "RON",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "20698",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OR",
"license": "20698",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.