Individual provider Active NPI

Tammy S Port, M.A. CCC-A

  • Audiologist-Hearing Aid Fitter
  • Grove City, PA
National Provider Identifier
1184837130
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AT006157 Issued in PA
Practice address
216 S Center St
Grove City, PA 16127-1509
Phone
(724) 458-8454
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AT006157 PA Primary

Addresses

Primary practice location

216 S Center St
Grove City, PA 16127-1509

Mailing address

216 S Center St
Grove City, PA 16127-1509
Phone (724) 458-8454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130001197 PA Practitioner - Qualified Audiologist 2163618364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8300 W Ridge Rd
Pleasant Ridge Manor
Girard, PA 16417-8702
Phone (814) 474-5521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Special Care Hearing of Pennsylvania, LLC CurrentSince Mar 3, 2015 Accepting new patients
Special Care Hearing of Pennsylvania, LLC CurrentSince Mar 3, 2015 Accepting new patients
Hearusa Inc Audiologist-Hearing Aid Fitter Past Accepting new patients
Onsight Health Care, LLC Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

12910 Shelbyville Rd
Ste 128
Louisville, KY 40243

700 S Cayuga Ave
Altoona, PA 16602
Phone (814) 251-9765

8300 Ridge Rd
Girard, PA 16417
Phone (814) 474-5521

639 Red Lion Rd
Huntingdon Vy, PA 19006

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

Interoperability endpoints

  • Direct secure messaging: tammy.port.p10@direct.360care.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1184837130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S CENTER ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271509",
            "telephone_number": "724-458-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S CENTER ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271509",
            "telephone_number": "724-458-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORT",
        "first_name": "TAMMY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT006157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.