Richard Michael Squires, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A-0317 Issued in WV

Practice address

2012 Garfield Ave Ste 4
Parkersburg, WV 26101-2539

Phone

(304) 428-2403

Fax

(304) 428-3270

NPI assigned

Sep 10, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Audiology Services of West Virginia LLCGroup PAC ID 5294058053, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Audiology Services of West Virginia, LLC

  • Audiologist
  • Parkersburg, WV
  • NPI 1174927479
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1124429097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 GARFIELD AVE STE 4",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012539",
            "telephone_number": "304-428-2403",
            "fax_number": "304-428-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 GARFIELD AVE STE 4",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012539",
            "telephone_number": "304-428-2403",
            "fax_number": "304-428-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A-0317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Anne Sprouse
• Stephanie Sprouse
• Sarah Sprout
• James N Spychalski, M.D.
• Carlee Ann Squires, AU.D.
• Christa J St. Andry
• St. Joseph Recovery Center, LLC
• St. Joseph'S Healthcare System Limited Partnership
• St. Joseph'S Healthcare System Limited Partnership
• Elizabeth A Staats

• Audiologist in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Audiologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.