Active NPI
Williamsport Hearing Services, LLC
- Audiologist
- South Williamsport, PA
National Provider Identifier
1114036837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT000678L
- Legal business name
- WILLIAMSPORT HEARING SERVICES, LLC
- Practice address
- 1215 W Southern Ave
South Williamsport, PA 17702-7142 - Phone
- (570) 323-7000
- Fax
- (570) 329-1055
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandra M. Chamberlin, M.S.
- Title
- Ceo
- Phone
- (570) 323-7000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT000678L | PA | Primary |
Addresses
Primary practice location
1215 W Southern Ave
South Williamsport, PA 17702-7142
Mailing address
1215 W Southern Ave
South Williamsport, PA 17702-7142
Phone (570) 323-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1215 W Southern Ave
Williamsport, PA 17702
Phone (570) 323-7000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Williamsport, PA
- NPI 1609849116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114036837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 W SOUTHERN AVE",
"city": "SOUTH WILLIAMSPORT",
"state": "PA",
"postal_code": "177027142",
"telephone_number": "570-323-7000",
"fax_number": "570-329-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 W SOUTHERN AVE",
"city": "SOUTH WILLIAMSPORT",
"state": "PA",
"postal_code": "177027142",
"telephone_number": "570-323-7000",
"fax_number": "570-329-1055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMSPORT HEARING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHAMBERLIN",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "570-323-7000",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "PA",
"license": "AT000678L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.