Organization Active NPI

Palmer Audiology, PLLC

  • Hearing Aid Equipment
  • Russellville, AR
National Provider Identifier
1114453743
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
A151 Issued in AR
Legal business name
PALMER AUDIOLOGY, PLLC
Practice address
200 N Quanah Ave
Russellville, AR 72801-2762
Phone
(479) 968-7250
Fax
(479) 890-6345
NPI assigned
May 2, 2017
Last updated
May 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Dr. Charles T Palmer, AU.D.NPI 1831214972
Title
Audiologist
Phone
(479) 968-7250

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)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X A151 AR Primary

Addresses

Primary practice location

200 N Quanah Ave
Russellville, AR 72801-2762

Mailing address

200 N Quanah Ave
Russellville, AR 72801-2762
Phone (479) 968-7250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180209000907 AR Part B Supplier - Clinic/Group Practice 2163782228 Receives reassigned benefits from 1 practitioner
Practice locations: Russellville, AR

National Provider Directory

National Provider Directory

Locations

200 N Quanah Ave
Russellville, AR 72801
Phone (479) 890-0368

Practitioners & affiliated clinicians

Practitioners 1

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": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1114453743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N QUANAH AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012762",
            "telephone_number": "479-968-7250",
            "fax_number": "479-890-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N QUANAH AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012762",
            "telephone_number": "479-968-7250",
            "fax_number": "479-890-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER AUDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "479-968-7250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "AR",
            "license": "A151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.