Organization Active NPI

Eastern Oregon Audiology Inc

  • Hearing Aid Equipment
  • Baker City, OR
National Provider Identifier
1164695599
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
21908 Issued in OR
Legal business name
EASTERN OREGON AUDIOLOGY INC
Practice address
1832 Main St
Baker City, OR 97814-3449
Phone
(541) 524-0453
NPI assigned
Apr 7, 2008
Last updated
Apr 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Robin Monique Maxon, M.S. CCC-A
Title
Audiologist
Phone
(541) 524-0453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 21908 OR Primary

Addresses

Primary practice location

1832 Main St
Baker City, OR 97814-3449

Mailing address

1832 Main St
Baker City, OR 97814-3449
Phone (541) 524-0453

Other identifiers 1

IdentifierTypeStateIssuer
158836MedicaidOR

National Provider Directory

National Provider Directory

Locations

1832 Main St
Baker City, OR 97814
Phone (541) 524-0453

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": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1164695599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 MAIN ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978143449",
            "telephone_number": "541-524-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 MAIN ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978143449",
            "telephone_number": "541-524-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN OREGON AUDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "MAXON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "541-524-0453",
        "authorized_official_credential": "M.S. CCC-A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "OR",
            "license": "21908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158836",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.