Madison Kathleen Ruzicka, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3467 Issued in IL

Practice address

123 Rottingham CT Ste C
Edwardsville, IL 62025-3778

Phone

(618) 655-1385

Fax

(618) 655-1393

NPI assigned

Oct 10, 2022

Last updated

Jan 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Madison Kathleen Cornelison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hearing Health USA, LLC

  dba American Hearing Centers

  • Audiologist-Hearing Aid Fitter
  • Lancaster, PA
  • NPI 1578982450

  Hearing Instrument Specialist

  NPD (past)
• Ideal Practice Management Group Mi LLC

  • Hearing Aid Equipment
  • Dickson, TN
  • NPI 1013466408

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1093430266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ROTTINGHAM CT STE C",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253778",
            "telephone_number": "618-655-1385",
            "fax_number": "618-655-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ROTTINGHAM CT STE C",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253778",
            "telephone_number": "618-655-1385",
            "fax_number": "618-655-1393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3511 College Ave",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620025009",
            "country_code": "US",
            "telephone_number": "618-462-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUZICKA",
        "first_name": "MADISON",
        "middle_name": "KATHLEEN",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "3467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "CORNELISON",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas Morey Rozell, DC
• Delaney Nichole Ruby, RN
• Hannah Kate Ruesch
• Andrew Colin Russell, MD
• Ashlyn Russo
• Nicole Adraneda Ryan
• Timothy Samet
• Faith Elizabeth Sanders
• Mary Ellen Sandrin, COTA
• Bradley Alen Sands

• Hearing Instrument Specialist in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Hearing Instrument Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.