Active NPI
William F Strock, MS CLINICAL AUDIOLOG
- Audiologist
- Medford, OR
National Provider Identifier
1073609343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- OR20448
- Practice address
- 42 Hawthorne St
Medford, OR 97504 - Phone
- (541) 776-3461
- Fax
- (541) 776-0482
- NPI assigned
- Oct 5, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | OR20448 | OR | Primary |
Addresses
Primary practice location
42 Hawthorne St
Medford, OR 97504
Mailing address
2162 Happy Valley Dr
Medford, OR 97501
Phone (541) 779-7914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277590 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR20448 | OR | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaginears, Inc. | Past | Accepting new patients |
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-Hearing Aid Fitter
- Medford, OR
- NPI 1447470158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073609343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2162 HAPPY VALLEY DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97501",
"telephone_number": "541-779-7914",
"fax_number": "541-779-7914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 HAWTHORNE ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-776-3461",
"fax_number": "541-776-0482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROCK",
"first_name": "WILLIAM",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "MS CLINICAL AUDIOLOG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "OR20448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277590",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.