NPIMap

Organization Active NPI

Fort Wayne Audiology Consultants, LLC

Doing business as Lowe Audiology and Hearing Care

  • Hearing and Speech Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1104237916
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
23002551A Issued in IN
Legal business name
FORT WAYNE AUDIOLOGY CONSULTANTS, LLC
Doing business as
Lowe Audiology and Hearing Care
Practice address
4720 E State Blvd
Fort Wayne, IN 46815-6923
Phone
(260) 471-5693
Fax
(260) 471-4942
NPI assigned
May 14, 2014
Last updated
Apr 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Dr. Thomas Zachary Burkle, AUDNPI 1699985275
Title
Audiologist/Owner
Phone
(317) 616-8048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 23002551A IN Primary

Addresses

Primary practice location

4720 E State Blvd
Fort Wayne, IN 46815-6923

Mailing address

4720 E State Blvd
Fort Wayne, IN 46815-6923
Phone (260) 471-5693

Other names 1

  • Lowe Audiology and Hearing Care Doing business as

National Provider Directory

National Provider Directory

Locations

4720 E State Blvd
Fort Wayne, IN 46815
Phone (260) 471-5693

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1104237916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156923",
            "telephone_number": "260-471-5693",
            "fax_number": "260-471-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156923",
            "telephone_number": "260-471-5693",
            "fax_number": "260-471-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WAYNE AUDIOLOGY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "BURKLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ZACHARY",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "317-616-8048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "IN",
            "license": "23002551A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowe Audiology and Hearing Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.