Organization Active NPI

Nicholas E Oldham LLC

Doing business as Sonus SF0026

  • Audiologist-Hearing Aid Fitter
  • Harrisburg, IL
National Provider Identifier
1184908998
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
NICHOLAS E OLDHAM LLC
Doing business as
Sonus SF0026
Practice address
1220 E Sloan St.
Harrisburg, IL 62946-2716
Phone
(618) 253-3277
NPI assigned
Sep 29, 2011
Last updated
May 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Nicholas E OldhamNPI 1417245606
Title
Owner/Provider
Phone
(618) 253-3277

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-Hearing Aid Fitter 237600000X Primary

Addresses

Primary practice location

1220 E Sloan St.
Harrisburg, IL 62946-2716

Mailing address

1220 E Sloan St
Harrisburg, IL 62946-2716
Phone (618) 253-3277

Other names 1

  • Sonus SF0026 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120405000202 IL Part B Supplier - Clinic/Group Practice 7719148428 Receives reassigned benefits from 1 practitioner
Practice locations: Harrisburg, IL

National Provider Directory

National Provider Directory

Locations

1220 E Sloan St
Harrisburg, IL 62946
Phone (618) 252-5300

Practitioners & affiliated clinicians

Practitioners 2

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": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1184908998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E SLOAN ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462716",
            "telephone_number": "618-253-3277",
            "fax_number": "618-253-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E SLOAN ST.",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462716",
            "telephone_number": "618-253-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS E OLDHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "618-253-3277"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonus SF0026",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.