Active NPI
Steven Kenneth Roelofs
- Audiologist
- Oregon City, OR
National Provider Identifier
1093263402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 30866
- Practice address
- 502 Willamette St
Oregon City, OR 97045-2725 - Phone
- (541) 285-3322
- NPI assigned
- Sep 14, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 30866 | OR | Primary |
Addresses
Primary practice location
502 Willamette St
Oregon City, OR 97045-2725
Mailing address
816 Beltline Rd
Springfield, OR 97477-1091
Phone (541) 746-7671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210311002014 | OR | Practitioner - Qualified Audiologist | 1355757667 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30866 | OR | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hear 360 Now Inc | Audiologist | Past | Accepting new patients |
| Hear 361 Now LLC Dba Advanced Hearing Plus | Audiologist | Past | Accepting new patients |
Organizations & group practices 2
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
- Springfield, OR
- NPI 1790447852
-
- Hearing and Speech Clinic/Center
- Eugene, OR
- NPI 1609698026
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1093263402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 BELTLINE RD",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974771091",
"telephone_number": "541-746-7671",
"fax_number": "541-746-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 WILLAMETTE ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452725",
"telephone_number": "541-285-3322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROELOFS",
"first_name": "STEVEN",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-14",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "30866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.