Organization Active NPI

John H Payne Assoc Inc

  • Audiologist
  • Indianapolis, IN
National Provider Identifier
1053447953
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
JOHN H PAYNE ASSOC INC
Practice address
2020 West 86TH St
101
Indianapolis, IN 46260
Phone
(317) 872-1557
Fax
(317) 872-6042
NPI assigned
Feb 26, 2007
Organization subpart
Yes
Parent organization
JOHN H PAYNE ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Mr. Robert H Payne
Title
President Clinical Director
Phone
(317) 872-1557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

2020 West 86TH St
101
Indianapolis, IN 46260

Mailing address

2020 West 86TH Street
101
Indianapolis, IN 46260
Phone (317) 872-1557

Other identifiers 1

IdentifierTypeStateIssuer
100153260AMedicaidIN

National Provider Directory

National Provider Directory
Part of
Robert H Payne

Locations

2020 W 86th St
Ste 101
Indianapolis, IN 46260
Phone (317) 872-1557

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1053447953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WEST 86TH STREET",
            "address_2": "101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-872-1557",
            "fax_number": "317-872-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WEST 86TH ST",
            "address_2": "101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-872-1557",
            "fax_number": "317-872-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H PAYNE ASSOC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN H PAYNE ASSOCIATES",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "317-872-1557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100153260A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.