Hearing Diagnostics Center PC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

58000001A Issued in IN

Legal business name

HEARING DIAGNOSTICS CENTER PC

Practice address

1206 College Ave
Suite 1
Goshen, IN 46526-4937

Phone

(574) 534-4171

Fax

(574) 533-3466

NPI assigned

Nov 29, 2005

Organization subpart

No

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

Authorized official

Name

David C Craig, AU.D.NPI 1811082100

Title

Owner/President

Phone

(574) 534-4171

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Hearing Diagnostics Center

  • Audiologist
  • Bremen, IN
  • NPI 1679788244

  O20050217000149

  Same enrollment
• Hearing Diagnostics Center PC

  • Audiologist-Hearing Aid Fitter
  • South Bend, IN
  • NPI 1164407425

  O20050217000149

  Same enrollment

Tax ID family

Hearing Diagnostics Center PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Hearing Diagnostics Center PC

  • Audiologist-Hearing Aid Fitter
  • South Bend, IN
  • NPI 1164407425
  NPD tax ID
• Hearing Diagnostics Center PC

  • Audiologist
  • Goshen, IN
  • NPI 1831357672
  NPD tax ID

Locations

Practitioners 1

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

• David Courtland Craig, AU.D.

  • Audiologist
  • Goshen, IN
  • NPI 1811082100
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1083697510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 COLLEGE AVE",
            "address_2": "SUITE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264937",
            "telephone_number": "574-534-4171",
            "fax_number": "574-533-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 COLLEGE AVE",
            "address_2": "SUITE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264937",
            "telephone_number": "574-534-4171",
            "fax_number": "574-533-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING DIAGNOSTICS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "574-534-4171",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "IN",
            "license": "58000001A",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IN",
            "license": "58000001A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR",
            "identifier": "0303310002",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS AUDIOLOGY",
            "identifier": "000000087117",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113470A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HA SUPPLIER (DME)",
            "identifier": "000000201762",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Christian Hartman, MSW
• Billie Marie Hartman
• Anjenette Hasse, LMHC, CADAC II
• Madelyn Hauersperger, LSW
• John A Hawkins, M.D.
• Hearing Diagnostics Center PC
• Heart and Soul Home Health Provider
• Heart and Soul Personal Services
• Heartland Diagnostic Imaging
• Heath H Fervida PC

• Audiologist-Hearing Aid Fitter in Goshen, IN
• Providers in Goshen, IN by specialty
• Audiologist-Hearing Aid Fitter in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.