Southern Idaho Hearing & Audiology LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD-1077 Issued in ID

Legal business name

SOUTHERN IDAHO HEARING & AUDIOLOGY LLC

Practice address

1330 Filer Ave E
Twin Falls, ID 83301-4119

Phone

(208) 734-4555

Fax

(208) 734-3632

NPI assigned

Oct 22, 2009

Organization subpart

No

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

Authorized official

Name

A Joseph Seitz

Title

Owner

Phone

(208) 324-4414

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1154657351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SEMINOLE CIR",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833386484",
            "telephone_number": "208-324-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 FILER AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014119",
            "telephone_number": "208-734-4555",
            "fax_number": "208-734-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN IDAHO HEARING & AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "SEITZ",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-324-4414"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "ID",
            "license": "AUD-1077",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "ID",
            "license": "AUD-1077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Sorenson, LCPC-8331138
• South Central Public Health District (Public Health District V)
• South Idaho Hearing & Audiology
• Southern Idaho Cardiology Associates, P.L.L.C.
• Southern Idaho Examiners
• Southern Idaho Home Health & Staffing (BrightStar of South Central & Eastern Idaho)
• Southern Idaho Ophthalmology PLLC
• Southern Idaho Pain Institute P.C.
• Southern Idaho Pain Institute P.C.
• Southern Idaho Radiology PA

• Audiologist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Audiologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.