Organization Active NPI

Upper Peninsula Audiology Inc.

  • Audiologist
  • Houghton, MI
National Provider Identifier
1144608704
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000516 Issued in MI
Legal business name
UPPER PENINSULA AUDIOLOGY INC.
Practice address
901 W Sharon Ave Unit 9
Houghton, MI 49931-1964
Phone
(269) 303-5333
NPI assigned
May 14, 2015
Last updated
Jul 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Mrs. Melissa A Collard, AUD.NPI 1013173533
Title
President
Phone
(269) 303-5333

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
Audiologist 231H00000X 1601000516 MI Primary

Addresses

Primary practice location

901 W Sharon Ave Unit 9
Houghton, MI 49931-1964

Mailing address

901 W Sharon Ave Ste 9
Houghton, MI 49931-1964
Phone (269) 303-5333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150702001021 MI Part B Supplier - Clinic/Group Practice 5698087716 Receives reassigned benefits from 4 practitioners
Practice locations: Houghton, MI

National Provider Directory

National Provider Directory

Locations

901 W Sharon Ave
Ste 9
Houghton, MI 49931
Phone (269) 303-5333

Practitioners & affiliated clinicians

Practitioners 5

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": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1144608704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W SHARON AVE STE 9",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311964",
            "telephone_number": "269-303-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W SHARON AVE UNIT 9",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311964",
            "telephone_number": "269-303-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER PENINSULA AUDIOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "COLLARD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-303-5333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AUD."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.